United States
Environmental Protection Agency



### FINAL DRAFT March 2 9
, 2016 

# Notification of
RCRA Subtitle C Activity

Instructions and Form

EPA Form 8700

- 12

(OMB #2050

- 0024; Expires ??/??/???? )i Office of Resource Conservation and Recovery (ORCR) (5303P) Washington, DC 20460

Notification of RCRA Subtitle C Activity
Instructions and Form

Section 3010 of Subtitle C of the Resource Conservation and Recovery Act (RCRA) requires any person who generates, transports, or recycles regulated wastes or who owns or operates a facility for the treatment, storage, or disposal of regulated wastes to n otify the U.S.
Environmental Protec tion Agency ( EPA ) of their activities, including the location and general description of the activities and the regulated wastes handled. Respondents must submit the information required in the Notification of Subtitle C Activity Instructions and Form
boo klet by completing the RCRA Subtitle C Site Identification Form [ EPA Form 8700

- 12]. As required by statute, the EPA promulgated regulations to implement these notification requirements at 40 CFR Parts 260, 261, 262, 263, 264, 265, 266, 270, 273, and 279

. The EPA needs this information to determine the universe of persons who generate, handle, and manage these regulated wastes; assign E PA Identification Numbers; and ensure that these regulated wastes are managed in a way that protects human health and the environment as required by RCRA. This is mandatory reporting by the respondents.

The EPA enters notification information submitted by respondents into RCRAInfo, the EPA national database, and assigns EPA
Identification Numbers. The EPA uses this informa tion to identify the universe of regulated waste generators, handlers, and managers and their specific regulated waste activities. The EPA also uses the information for tracking and for a variety of enforcement and inspection purposes. Finally, the EPA u ses this information to ensure that regulated waste is managed properly, that statutory provisions are upheld, and that regulations are adhered to by facility owners or operators.

Section 3007(b) o f RCRA and 40 CFR Part 2, Subpart B, which defines the EPA ’s general policy on public disclosure of information, both contain provisions for confidentiality. However, the Agency does not anticipate that businesses will assert a claim of confi dentiality covering all or part of the Notification of Subtitle C Activ ity. If such a claim were asserted, the EPA must and will treat the information in accordance with the regulations cited above. The EPA also will assure that th e information collection complies with the Privacy Act of
1974 and OMB Circular 108.

Estimated Burden: The reporting and recordkeeping burden for the Notification of Regulated Waste Activity (initial and subsequent) is estimated to average 44 minutes for a facility to complete and submit the form , and keep copies of notification and affiliation ag reements on site, as applicable

.

To comment on the Agency’s need for this information, the accuracy of the provided burden estimates, and any suggested method s for minimizing respondent burden, including the use of automated collection techniques, the E PA has established a public docket for the Information Collection Request (ICR) under Docket ID Number EPA

- HQ

- OLEM

– 2016

– 0182 , which is available for public viewing at the RCRA Docket in the EPA Docket Center (EPA/DC), EPA West, Room 3334, 1301 Constitution Ave., NW, Washington , D.C. The EPA Docket Center Public Reading Room is open from 8:30 a.m. to 4:30 p.m., Monday through Friday, excluding legal holidays. The telepho ne number for the Reading Room is (202) 566

- 1744 and the telephone number for the RCRA Docket is (202) 566

- 0 270. An electronic version of the public docket is available through EPA Dockets (EDOCKET) at http://www.epa.gov/dockets/regulations.htm

. Use EDOCKET to submit or view public comments, access the index listing of the contents of the public docket, and to access those documents in the public docket that are available electronically. Once in the system, select “search,” then key in the docket ID number identified above. Also, you can send comments to the Office of Information and Regulatory Affairs, Office of Management and Budget, 725 17 th Street, NW, Washington, D.C. 20503, Attention: Desk Office for EPA. Please include the EPA Docket ID Number EPA

- HQ

- OLEM

– 2016

– 0182 and OMB Control
Number 2050

- 0024 in any correspondence.ii 

## TABLE OF CONTENTS

The Notification of RCRA Subtitle C Activities

................................ ................................ ...................... 3

Introduction

................................ ................................ ................................ ................................ ............... 3

What’s New

................................ ................................ ................................ ................................ ............... 3

Where to Get Help

................................ ................................ ................................ ................................ .... 4

Initial Notifications

................................ ................................ ................................ ................................ .... 5

Subseque nt Notifications

................................ ................................ ................................ .......................... 7

Determining if You Must Notify

................................ ................................ ................................ .......... 8

How to Determine if You Must Notify EPA of Your RCRA Subtitle C Activities

................................ ......... 8

How to Determine if You Must Notify EPA of Your Universal Waste Activities

................................ ...... 10

How to Determine if You Must Notify EPA of Your Used Oil Management Activities

............................ 10

Who is Exempt From Used Oil NotificatIon Requirements?

................................ ................................ ... 11

How to Determine if You Must Notify EPA of Your Subpart K Laboratory Hazardous Waste Activities

. 11

How to Determine if You Must Notify EPA of Your Hazardous Secondary Material Activities

............... 11

How Many Forms Should I File?

................................ ................................ ................................ .............. 12

Can I Request that this Information be Kept Confidential?

................................ ................................ .... 12

Where Should I Send My Completed Form?

................................ ................................ ........................... 14

Item

- by

- Item Instructions for Notification of RCRA Subtitle C Activity Using the RCRA Subtitle C Site

Identificaction Form

................................ ................................ ................................ ................................ 14

Instructions for Filling Out the R CRA Subtitle C Site Identification (Site ID) Form

................................ 15

Who Must Submit this Form

................................ ................................ ................................ ................... 15

Purpose of this Form

................................ ................................ ................................ ............................... 15

How to F ill Out this Form

................................ ................................ ................................ ........................ 152 Item

- By

- Item Instructions

................................ ................................ ................................ ....................... 16

Item 1

– Reason for Submittal

................................ ................................ ................................ ............. 16

Item 2

– Site EPA Id Number

................................ ................................ ................................ ............... 18

Item 3 and 4

– Site Name and Location

................................ ................................ ............................... 18

Item 5

– Site Land Type

................................ ................................ ................................ ....................... 19

Item 6

– North American Industry Classification System (NAICS) Code(s)

................................ .......... 19

Item 7

– Site Mailing Address

................................ ................................ ................................ .............. 20

Item 8

– Site Contact Person

................................ ................................ ................................ ............... 20

Item 9

– Legal Owner and Operator of the Site

................................ ................................ .................. 20

Item 10

– Type of Regulated Waste Activity

................................ ................................ ....................... 22

Item 11

– Description of Hazardous Wastes

................................ ................................ ....................... 30

Item 12

– Notification of Hazardous Secondary Material (HSM) Activity

................................ ........... 31

Item 13

– Comments

................................ ................................ ................................ ........................... 31

Item 14

– Certification

................................ ................................ ................................ ......................... 32

Addendum to the Site Identification Form: Notification of Hazardous Secondary Material Activity

.... 33

You Must Fill Out this Section if:

................................ ................................ ................................ ............. 33

Item 1

– Indicate Reason for Notification (include dates where requested)

................................ ...... 34

Item 2

– Description o f Excluded Hazardous Secondary Material (HSM) Activity

.............................. 35

Item 3

– Facility has Financial Assurance Pursuant to 40 CFR 261.4(a)(24)(v i)

................................ ... 38

Other Reference Information and Code Lists

................................ ................................ ..................... 39

Excluded Wastes

................................ ................................ ................................ ................................ ...... 40

Definitions

................................ ................................ ................................ ................................ ................ 42

EPA Hazardous Waste Codes

................................ ................................ ................................ ................... 51

Hazardous Secondary material (HSM) Facility Codes

................................ ................................ .............. 52

Hazardous Secondary material (HSM) Land

- Based Unit Codes

................................ ............................... 543 

## THE NOTIFICATION OF RCRA SUBTITLE C ACTI VITIES

INTRODUCTION

This booklet is designed to help you determine if you are subject to requirements under the Resource Conservation and Recovery Act (RCRA) for notifying the U.S. Environmental Protection Agency (EPA) of your regulated waste activities. Regulated wastes are hazardous wastes as defined by 40 CFR Part 261

, universal wastes as defined by 40 CFR Part 263 , and used oil as defined by 40 CFR Part 279 . Furthermor e, if you are managing hazardous secondary material under 40 CFR 261.2(a)(2)(ii) 260.30 , 40 CFR 261.4(a)(23), (24), or ( 25) ( 2 7 )

, you also must notify under 40 CFR 260.42 using the RCRA Subtitle C Site
Identification Form and Addendum to the Site Identific ation Form. The instructions contained in this booklet will assist you in obtaining an EPA Identification Number by completing and submitting the RCRA Subtitle C Site Identification Form (Site ID Form) [EPA Form 8700

- 12] for Initial Notifications or in re vising your Site ID Form if you are required to submit a Subsequent Notification. RCRA is a Federal law. If you are regulated but do not comply with the RCRA notification requirements, you may be subject to civil penalties.

NOTE Although this booklet contains information and instructions for completing a Notification of RCRA Subtitle C Activity Form , i t should not be considered a substitute for the regulations in Title 40 of the Code of Federal Regulations (40 CFR). Rather, this booklet serves as a

su pplement to the regulations and provides additional information not contained in 40 CFR. As a handler of regulated wastes, you are responsible for learning and complying with all requirements that apply to you and your regulated waste activities.

In addi tion, remember that this booklet and the regulations in 40 CFR address only the Federal hazardous waste program. Many States may have notification requirements that differ from the Federal requirements; those States may use the Site ID Form or they may us e a similar State form that requires information not requested in the EPA form. Again, it is your responsibility to make sure that you have completed and submitted all forms required under the Federal or your State program.

WHAT’S NEW

Below are a list of changes to the Notification of RCRA Subtitle C Activity Instructions and Forms.

CLARIFIED THE DEFINI TION OF LARGE QUANTI TY GENERATOR (LQG)

Although current RCRA regulations do not specifically define the term “large quantity generator” (LQG), they do d efine the terms “conditionally exempt small quantity generator” (CESQG) and “small quantity generator “(SQG). Thus, a LQG is a generator that is not a CESQG or SQG. For purposes of clarity, the definition of LQG has been revised to describe all those sit uations where a generator would be a LQG.4 CLARIFIED THE DEFINI TION OF SMALL QUANTI TY GENERATOR (SQG)

A SQG is defined at 40 CFR 260.10 as a site that generates less than 1,000 kilograms (kg; 2,200 pounds [lbs]) of hazardous waste in a calendar month. Ho wever, there are other situations where a generator could generate small amounts of acute hazardous waste listed in sections 261.31 or 261.33(e); and any residues or contaminated soil, waste, or other debris resulting from the cleanup of a spill, into or o n any land or water, of any acute hazardous wastes listed in sections 261.31 or 261.33(e) and still maintain its regulatory status as a SQG. Therefore, for purposes of clarity, the definition of SQG has been revised to
describe all those situations where a generator would continue to be a SQG. The EPA plans to make the appropriate conforming change to the outdated definition of SQG at 40 CFR 260.10 in the future.

CLARIFIED THE DEFINI TION OF CONDITIONALL Y EXEMPT SMALL QUANT ITY GENERATOR (CESQG)

A CESQG is defined at 40 CFR 261.5(a) as a site that generates less than or equal to 100 kg (220 lbs) of hazardous waste in a calendar month. However, as found in 40 CFR 261.5(e), a generator also may generate small amounts of acute hazardous waste listed in section s 261.31 or 261.33(e); and any residues or contaminated soil, waste, or other debris resulting from the cleanup of a spill, into or on any land or water, of any acute hazardous wastes listed in sections 261.31, or 261.33(e) and still maintain its regulator y status as a CESQG. Therefore, for purposes of clarity, the definition of CESQG has been revised to describe all those situations where a generator would continue to be a CESQG.

UPDATED TO REFLECT 2 015 DEFINITION OF SO LID WASTE FINAL RULE

On January 13, 2015, EPA published the Definition of Solid Waste (DSW) final rule (80 FR 1694), which revised the regulations related to certain exclusions from solid and hazardous waste regulation. Changes have been made to the Site ID form, particularly to the Add endum to the Site ID Form, to reflect this final
rule.

OTHER CHANGES

1) Changes were made to the list of Excluded Wastes, and Hazardous Secondary Material (HSM) Facility Codes ; 2) New fields added to Site ID: Owner: Added telephone number, extension, and notes field and Operator: Added address, telephone number, extension, and notes field; 3) HSM Addendum : removed Financial A ssurance question

.

WHERE T O GET HELP

We realize that the regulations are complex. Although we are not providing reprints of the 40 CFR

reg ulations in this booklet, copies of the Federal regulations are available from the EPA (see below). We
have listed the addresses and phone numbers of the contacts in each State who can answer your questions and help you understand the Federal and State re quirements that apply to you. This contact5 list is located at: https://www.epa.gov/sites/production/files/2016

- 03/documents/contact02172016.pdf

.

In addition to these contacts, there are several other sources available to help with your questions and provide information on the EPA regulations:

RCRA FREQUENTLY ASKE D QUESTIONS

This allows users to find answers to commonly asked questions that cover a wide range of RCRA issues and topics. Find at: http://waste.supportportal.com/ics/support/default.asp?deptID=23023

.

RCRA ONLINE

The RCRA Online database is designed to en able users to locate documents, including publications and other outreach materials that cover a wide range of RCRA issues and topics. Find at: http://www.epa.gov/rcraonline

.

RCRA R E GULATIONS

The Federal regulations can be found at: http://www.gpo.gov/fdsys/

.

COMPLIANCE ASSISTANC E CENTERS

The EPA has sponsored partnerships with industry, academic institutions, environmental groups, and other agencies t o launch sector

- specific Compliance Assistance Centers (Centers). Each Center addresses real world issues in understandable language for you to understand Federal environmental requirements and how to save money through pollution prevention techniques. V isit the Compliance Assistance Centers

at: http://www.assistancecenters.net

.

EPA NATIONAL COMPLIA NCE ASSISTANCE CLEAR INGHOUSE

The Compliance Assistance Clearinghouse is a comprehensive source of compliance assistance information and resources. Use links to Federal, State, local, and other compliance assistance providers to find the tools you need. Visit the Compliance Assistance Clearinghouse at: http://www.epa.gov/compliance/assistance/index.html

.

EPA SMALL BUSINESS O MBUDSMAN OFFICE

1

- 800

- 368

- 5888.

YOUR TRADE ASSOCIATI ON

INITIAL NOTIFICATION S6 If you do not currently have an EPA Identification Number and you handle regulated waste or hazardous secondary material, you must submit an I nitial N otification. Please refer to information contained in the

“ DETERMI NING IF YOU MUST NOTIFY ” section of this booklet to help you determine whether you handle a regulated waste, whether any exemptions or exclusions apply to you, and how you should file the Notification of RCRA Subtitle C Activity. Circumstances under which you should submit an I nitial

N otification include:

• If you generate, transport, treat, store, or dispose of hazardous waste. Refer to the

“ DETERMINING IF YOU MUST NOTIFY ” section of this booklet for further informati on and a description of exclusions or exemptions; or

• If you recycle hazardous wastes. (Recyclable materials are defined as hazardous wastes that are recycled). The recycling process itself is exempt from regulation, but you must notify the EPA and
obta in an EPA Identification Number prior to recycling recyclable materials. Refer to the

“ DETERMINING IF YOU MUST NOTIFY ” section of this booklet for further information and a description of exemptions; or

• If you are a large quantity handler of universal waste. Refer to the “ DETERMINING IF YOU MUST

NOTIFY ” section of this booklet for further information and a description of exemptions. (Notification is required for people who hav e not previously notified the EPA of their hazardous waste activities or who have not already sent a notification to the EPA as required by 40 CFR 273.32); or

• If you transport, process, or re

- refine used oil; burn off

- specification used oil for energy recovery;
or market used oil. Refer to the “ DETERMINING IF YOU MUST NOTIFY ” section of this booklet for further information and for a description of exemptions. (Notification is required for people who have not previously notified the EPA of their hazardous waste activities or have not notified under 40 CFR Part 279 or under 40 CFR Part 266, Subpart E, which was replaced by 40 CFR Part 279.)

• If you are an eligible academic entity opting into 40 CFR Part 262

, Subpart K for managing laboratory hazardous wastes AND you have never before submitted site identification information, you must submit this form t o notify the appropriate State or EPA Regional Office of your activities. Note: You must check with your State to determine if you are eligible to manage laboratory hazardous waste pursuant to 40 CFR Part 262

, Subpart K in order for you to notify.

• If yo u will begin managing hazardous secondary material under 40 CFR 261.2(a )(2)(ii) 260.30 , 40 CFR 261.4(a)(23), (24), or (25) (2 7 ) you must submit this form, pursuant to 40 CFR 260.42, to notify the appropriate State or EPA Regional Office of your activities. Note: You must check with your State to determine if you are eligible to manage hazardous secondary material under these
excl usions provision s in order for you to notify.

• If your business moves to another location and you are still conducting activities regulated under

RCRA Subtitle C.7 SUBSEQUENT NOTIFICAT IONS

Even if you have submitted an Initial N otification and have receiv ed an EPA Identification Number, you may be required to submit a S ubsequent N otification. Please refer to the “ DETERMINING IF YOU MUST

NOTIFY ” section of this booklet for information on when and how to complete a S ubsequent N otification. In general, you should submit a S ubsequent N otification under the following circumstances:

• If the contact for your site changes.

• If the ownership of your site changes.

• If an additional owner has been added or replaced since you submitted your last notification.

• If the type of RCRA Subtitle C activity you conduct changes.

• If you have previously submitted site identification information and are an eligible academic entity opting into or withdrawing from 40 CFR Part 262

, Subpart K for managing laboratory hazardous wastes, you must use this form. Note: You must check with your State to determine if you are eligible to manage laboratory hazardous waste pursuant to 40 CFR Part 262

, Subpart K in order for you to notify.

• If you are managing or will stop managing hazardous secondary material under 40 261.2(a )(2)(ii)

260.30 , 40 CFR 261.4(a)(23), (24), or (25) (2 7 ) , you are required to re

- notify by March 1 of each

even

- numbered year pursuant to 40 CFR 260.42. Note: If your facility was granted a solid waste variance under 40 CFR 260.30 prior to July 13, 2015, your management of hazardous secondary
materials under 40 CFR 260.30 is grandfathered under the previous regulations and you are not required to notify.Determining if You Must Notify (continued)

8 

## DETERMINING I F Y OU M UST N OTIFY

HOW TO DETERMINE IF YOU MUST NOTIFY EPA O F YOUR RCRA SUBTITLE C ACTIVITIES

All persons who generate, transport, recycle, treat, store, or dispose of hazardous waste are required to notify the EPA (or their State agency if the State is authorized to operate its own hazardous waste program) of their hazardous waste activities. Fur thermore, if you are managing hazardous secondary
material under 261.2(a )(2)(ii) 260.30 , 40 CFR 261.4(a)(23), (24), or (25) (2 7 )

, you also must notify using the RCRA Subtitle C Site Identification Form and Addendum to the Site Identification Form. These persons must obtain an EPA Identification Number unless their solid waste has been excluded from regulation or
their hazardous was te has been exempted as outlined below. These respective notification requirements
are found in 40 CFR Parts 260, 261, 262, 263, 264, 265, and 266

.
In addition to the discussion below, you will need to refer to 40 CFR Part 261 to help you determine if the waste you handle is both a solid waste and a hazardous waste that is regulated under RCRA. If you
need help making this determinat ion after reading these instructions, contact the agency listed for your State. The list of contact names, addresses, telephone numbers, and e

- mail address address es is located

at: https://www.epa.gov/sites/production/files/2016

- 03/documents/contact02172016.pdf

.

NOTE Under the Hazardous Waste Import Regulations, 40 CFR Part 262.60 (a)

, foreign generators should not apply for an EPA Identification Number. These regulations state that when filling out a U.S. manifest, you must include the name and address of the foreign generato r, and the name, address, and EPA Identification Number of the importer. Please contact the U.S. firms involved with your shipments and determine which firm will serve as the U.S. Importer.

To determine if you handle a solid waste that is also a hazardo us waste and regulated under RCRA, ask yourself the following questions:

A. DO I HANDLE A SOLID WASTE?

40 CFR 261.2 defines “solid waste” as any discarded material that is not excluded under 40 CFR 261.4(a) or that is not excluded by variance granted under 40 CFR 260.30 and 260.31. A discarded material is any
material which is:

• Abandoned, as explained in 40 CFR 261.2(b); or

• Recycled, as explained in 40 CFR 261.2(c); or

• Considered inherently waste

- like as explained in 40 CFR 261.2(d); or

• A military munition identified as a solid waste in 40 CFR 266.202.Determining if You Must Notify (continued)

9 B. HAS MY SOLID WASTE B EEN EXCLUDED FROM TH E REGULATIONS UNDER 40 CFR 261.4?

The list of general exclusions can be found in 40 CFR 261.4 . If the solid waste that you handle has been excluded, either by rule or special variance, then you do not need to notify the EPA for that solid waste unless otherwise stated in the regulations. If your solid waste was not excluded from regulation, you need
to determine if it is a hazardous waste that the EPA regulates. The EPA regulates a solid waste as hazardous waste in two ways:

• By specifically listing the solid waste as a hazardous waste and assigning it a unique EPA Hazardous Waste Code Number; or

• By regulating it because it possesses any of four hazardous waste characteristics and assigning it a generic EPA Hazardous Waste Code Number.

C. IS MY SOLID WASTE SP ECIFICALLY LISTED AS A HAZARDOUS WASTE?

40 CFR 261.30 through 261.33 identify certain solid wastes that the EPA has specifically listed as hazardous. Persons who handle listed hazardous waste are subject to regulation and must notify the EPA
of their hazardous waste activities unles s they are exempted as discussed below. Refer to these regulations to see if your solid waste is included as a “listed hazardous waste.” If you are handling a newly regulated hazardous waste and have already notified the EPA prior to that hazardous waste being regulated and already have an EPA Identification Number , you do not need to submit a Subsequent

N otification for that newly regulated hazardous waste.

D. DOES MY SOLID WASTE POSSESS A HAZARDOUS CHARACTERISTIC?

Even if your solid waste is not specifica lly listed as a hazardous waste, it may still be hazardous because it
exhibits certain hazardous characteristics. These characteristics are:

• Ignitability ;

• Corrosivity ;

• Reactivity ; and

• Toxicity

.

40 CFR 261.20 through 261.24 explain each of the characteristics and outline the testing procedures you should use to determine if you r solid waste meets these characteristics. Persons who handle characteristic hazardous waste that is regulated must notify the EPA of their activities unless they are exempted, as discussed below. If you are handling a newly regulated hazardous waste and have already
notified the EPA prior to that hazardous waste being regulated and already have an EPA Identification
Number , you do not need to submit a S ubsequent N otification for that newly regulated hazardous waste.Determining if You Must Notify (continued)

10 E. HAS MY HAZARDOUS WAS TE BEEN EXEMPTED F ROM THE REGULATIONS UNDER 40 CFR

261. 5 AND 261.6( A )(3)?

40 CFR 261.5 and 261.6(a)(3) list certain hazardous wastes that are not subject to RCRA regulation. If the hazardous waste that you handl e has been exempted, then you do not need to notify the EPA for that
hazardous waste.

HOW T O DETERMINE I F YOU MUST NOTIFY EP A O F YOUR UNIVERSAL WAS TE ACTIVITIES

Under 40 CFR Part 273, Subpart C, Large Quantity Handlers of Universal Waste (LQHUW) who accum ulate a total of 5,000 kilograms (kg) or more of universal wastes at any time are required to notify the EPA (or their State agency if the State is authorized to operate its own universal waste program) of their universal waste activities and obtain an EPA Identification Number, unless they have previously notified the EPA of
their hazardous waste activities. Large Quantity Handlers of Universal Waste must notify the EPA of their universal waste activities and obtain an EPA Identification Number before meeting or exceeding the 5,000
k g storage limit. Small Quantity Handlers of Universal Waste are exempt from these notification requirements.

NOTE Please refer to the regulations in 40 CFR Part 273 to ensure that you are aware of all the requirements that apply to your universal waste handling acti vities.

HOW T O DETERMINE I F YOU MUST NOTIFY EP A O F YOUR USED OIL MANA GEMENT

ACTIVITIES

Under 40 CFR Part 279, Subparts E, F, G, and H, respectively, persons who transport used oil; process or

re

- refine used oil; burn off

- specification used oil for energy recovery; or market used oil fuel, are required to notify the EPA (or their State agency if the State is authorized to operate its own used oil program) and obtain an EPA Identification Number, unless they are exempt as outlined below. Off

- specification used oil may be burned for energy recovery in an industrial furnace, boiler, or hazardous waste incinerator subject to regulation under Subpart O of 40 CFR Part 264 or 265.

Used oil transporters; used oil processors/re

- refiners; off

- specification used oil burners; and used oil fuel marketers who have not previously notified the EPA of their ha zardous waste activities or notified under 40 CFR Part 266, Subpart E (replaced by 40 CFR Part 279) must notify the EPA to identify their used oil management activities.

NOTE Please refer to the regulations in 40 CFR Part 279 to ensure that you are aware of all the requirements that apply to your used oil management activities.Determining if You Must Notify (continued)

11 WHO I S EXEMPT FROM USED O IL NOTIFICAT I ON REQUIREMENTS?

A. PERSONS WHO BURN ON

- SPECIFICATION USED O IL FUEL

Used oil that is to be burned for energy recovery and that meets the specification provided under 40 CFR

279.11 is exempt from the regulations. However, the person who first claims that the use d oil meets the specification is subject to notification as a used oil fuel marketer and certain other requirements (see 40 CFR Part 279, Subpart H ). The burner of fuel that meets the specifica tion in 40 CFR 279.11 is not required to notify.

B. USED OIL GENERATORS

Used oil generators are not required to notify the EPA.

C. USED OIL GENERATORS OPERATING USED OIL

- FIRED SPACE HEATERS

Persons who burn only used oil that they generate (or used oil receive d from household do

- it

- yourself used oil changers) in used oil

- fired space heaters are exempt from the notification requirement provided that the device is vented to the outdoors and the device is not designed to have a capacity greater than
0.5 million BT U/hour.

HOW T O DETERMINE IF YOU M UST NOTIFY EPA O F YOUR SUBPART K LAB ORATORY

H AZARDOUS WASTE ACTIV ITIES

Subpart K is an alternative set of generator requirements for managing laboratory hazardous waste at eligible academic entities. Generators that are e ligible academic entities with laboratories may elect to opt into 40 CFR Part 262

, Subpart K and manage their laboratory hazardous waste under Subpart K in lieu of 40 CFR 262.34(c) (or 40 CFR 261.5 for conditionally exempt small quantity generators [ CESQGs ] ). In order for eligible academic entities (see the “ DE FI NITIONS ” section of this booklet ) to opt into Subpart K or subsequently withdraw from Subpart K, they must use the Site ID Form to notify the appropriate State or EPA Regional Office. Refer to 40 CFR 262.203 and 262.204 . Not e: You must check with your State to determine if you are eligible to manage laboratory hazardous waste pursuant to 40 CFR 262

, Subpart K and for any S tate

- specific requirements.

HOW T O DETERMINE I F Y O U MUST NOTIFY EPA O F YOUR HAZARDOUS SEC ONDARY

MATERI AL ACTIVITIES

40 CFR 261.2(a )(2)(ii) 260.30 , (24), and (25) (2 7 ) exclude certain hazardous secondary material being reclaimed from the RCRA Subtitle C definition of solid waste, provided certain requirements and
conditions are met. Additionally, 40 CFR 260.30 provides for non

- waste determinations and variancesDetermining if You Must Notify (continued)

12 from classification as a solid waste. Hazardous secondary material is secondary material (e.g., spent material, by

- product, or sludge) that, when discarded, would be identified as hazardous waste under 40

CFR Part 261.

Facilities that will begin managing, are still managing, or will stop managing hazardous secondary material under these regulations must notify under 40 CFR 260.42 using the Site ID Form and the Addendum to
the Si te Identification Form. Note: You must check with your State to determine if you are eligible to manage hazardous secondary material under 40 CFR 261.2(a )(2)(ii) 260.30 , 40 CFR 261.4(a)(23), (24), or (25) (2 7 ). If your facility was granted a solid waste variance under 40 CFR 260.30 prior to July 13, 2015, your management of hazardous secondary materials under 40 CFR 260.30 is grandfathered under the previous regulations and you are not required to notify.

HOW MANY FORMS SHOUL D I FILE?

A person wh o is subject to the hazardous waste, universal waste, or used oil management regulations under RCRA should submit one notification (Site ID Form) per RCRA site. If you manage academic laboratory waste under Subpart K or hazardous secondary material under 40 CFR 261.2(a )(2)(ii) 260.30

, 40 CFR 261.4(a)(23), (24), or (25) (2 7 )

, you should submit one notification per site using the Site ID Form and, if appropriate, the Addendum to the Site Identification Form. If you conduct any regulated waste activity or ha zardous secondary material at more than one RCRA site, you must submit a separate notification for each RCRA site using the Site ID Form.

If you only transport regulated wastes and do not generate, treat, store, or dispose of hazardous wastes;
do not quali fy as a large quantity handler of universal wastes; or do not process/re

- refine used oil, burn

off

- specification used oil fuel, or market used oil fuel, you may submit one notification that covers all activities your company conducts. This notification sh ould be sent to the appropriate State or Regional Office ( https://www.epa.gov/sites/production/files/2016

- 03/documents/contact02172016.pdf ) that

serves the State where your company has its headquarters or principal place of business. However, if you are a transporter who also engages in one or more of the regulated waste activities listed above, you must submit a separate notification for each RCRA site usin g the Site ID Form.

CAN I REQUEST T HAT T HIS INFORMATION B E KEPT CONFIDENTIAL?

All information you submit in an Initial or S ubsequent N otification can be released to the public, according to the Freedom of Information Act, unless it is determined to be confidential by the EPA pursuant to 40 CFR Part 2. Since notification information is very general, the EPA believes it is unlikely that a ny information in your notification could qualify to be protected from release. However, you may make a claim of confidentiality by printing the word “CONFIDENTIAL” on all pages of the Site ID Form and on any
attachments. The EPA will take action on the confidentiality claims in accordance with 40 CFR Part 2. Contact your state if you have any additional questions.Determining if You Must Notify (continued)

13Determining if You Must Notify (continued)

14 WHERE SHOULD I SEND MY COMPLETED FORM?

We have provided an up

- to

- date list of the address for your State or EPA Regional Office where you should send your completed Site ID Form. The contact list can be found at: https://www.epa.gov/sites/production/files/2016

- 03/documents/contact02172016.pdf

. This list
contains contact names, addresses, phone numbers, and e

- mail addresses that you can use to obtain

additional information.

Many States use the form included at the end of this booklet; some also requir e additional information.

O ther States requ ire that you complete and submit a State

- specific form. Information about which form to use is included with the contact list located at the web page noted above. Even if you use the included form, you should check with your State to determine if you nee d to submit additional information. Also, contact your State if you have any questions about your submission.

After your completed Site ID Form for a notification is received and processed, you will be sent a written acknowledgement that will include your EPA Identification Number. You must use this number on all
communications with the EPA regarding your regulated waste and hazardous secondary material
activities for this site.

ITEM

- BY

- ITEM INSTRUCTIONS FO R NOTIFICATION OF RC RA SUBTITLE C ACTIVI TY USING

T HE RCRA SUBTITLE C S ITE IDENTIFICACTION FORM

Please be sure to review the instructions carefully and complete all items on the form. After you have submitted the Site ID Form once, your State may allow you to attach a copy of your most recently
submitte d form. If so, circle item numbers for which any information has changed. Then enter the new information (and circle the item numbers) on the Site ID Form included in this booklet and provide the required signatures (no photocopied signatures) in Item 14

– Certification.Site ID Form (continued)

15 

## INSTRUCTIONS FOR FIL LING OUT THE

RCRA SUBTITLE C SITE IDENTIFICATION FORM (SITE ID FORM)

WHO MUST SUBMIT THIS FORM

All sites required to submit any of the following must submit the RCRA Subtitle C Site Identification Form (Site ID Form):

• Initial Notification of Regulated Waste Activity;

• Subsequent Notification of Regulated Waste Activity;

• First RCRA Hazardous Waste Part A Permit Application;

• Revised RCRA Hazardous Waste Part A P ermit Application;

• Hazardous Waste Report;

• Notification for eligible academic entities opting into or withdrawing from managing laboratory hazardous wastes pursuant to 40 CFR Part 262 Subpart K (if in an eligible State); and

• Notification for facilities man aging hazardous secondary material pursuant to 40 CFR 260.42 (if in an eligible State).

Some States have requirements in addition to, or that are different from the Federal requirements. To obtain the appropriate forms or ask questions, refer to a list of contacts at: https://www.epa.gov/sites/production/files/2016

- 03/documents/contact02172016.pdf

.

The list will tell you whether the Federal form or a State for m is used, who to contact, and where to mail the completed form.

PURPOSE OF THIS FORM

The Site ID Form provides site

- specific information about your facility and is used to obtain an EPA
Identification Number under the RCRA Program . The Site ID Form also provides updated information for items that have changed at your site and verifies the information for those items that remain unchanged.

HOW TO FILL OUT THIS FORM

Complete the following Site ID Form items, as applicable to your facility:

• Item 1

- your reason for submitting the form

• Item 2

- your site’s EPA Identification Number

• Item 3

- the name of your site

• Item 4

- the physical location of your site

• Item 5

- the land type of your site

• Item 6

- the North American Industry Classification System (NAICS) code(s) for your site

• Item 7

- the mailing address for your site

• Item 8

- name, title, address, e

- mail, tele phone number, extension , and fax of a contact personSite ID Form (continued)

16 at your site

• Item 9

- name, address of the legal owner(s), address, e

- mai l, telephone number, extension,
and fax number of the operator(s) of your site

• Item 10

- your site’s regulated waste activities (enter all that apply)

• Item 11

- the description of hazardous waste

• Item 12

- your site’s hazardous secondary material acti vity, if you manage any

• Item 13

- additional comments on Items 1

– 12

• Item 14

- certification that the information you provided throughout the form is truthful, accurate, and complete

• Addendum to the Site Identification Form

– notification of hazardous secondary material activity

Type or print, in black ink, all items except the Signature box in Item 14. In Item 14, provide the required ink signatures. Signatures must be original. Stamped or photocopied signatures are not acceptable. Enter your site’ s EPA Identification Number in the top left

- hand corner on all pages of the form; for an Initial Notification for this site, leave the EPA identification Number blank. Use

Item 13

– Comments to clarify or provide additional information for any entry. Whe n entering information in the comments section, enter the item number and box letter to which the comment refers. If you must use additional sheets for comments, enter your site’s EPA Identification Number in the top left

- hand corner of each sheet.

ITEM

- BY

- ITEM INSTRUCTIONS

ITEM 1

– REASON FOR SUBMITTAL

Place an “X” in the appropriate box(es) to indicate whether this form is your Initial Notification (i.e., this is your first time submitting site identification information / to obtain an EPA Identification Number for this location); a Subsequent Notification (to update your site identification information); a component of a First or a Revised Hazardous Waste Part A Permit Application; or a component of the Hazardous Waste Report.

TO PROVIDE AN INITIAL NOTIFICATION (FIRST TIME SUBMITTI NG SITE IDENTIFICATI ON INFORMATION / TO OBT AIN AN EPA IDENTIFIC ATION NUMBER FOR THI S LOCATION)

• If your waste activity is regulated under Subtitle C of the Resource Conservation and Recovery Act (RCRA) and the rules promulgated pursuant to the Act (specifically 40 CFR Parts 260

- 299), you

must submit this form to notify the appropriate State or EPA Regional Office of your regulated
waste activities and obtain an EPA Identification Number.

• If you are an eligible acade mic entity opting into 40 CFR Part 262, Subpart K for managing laboratory hazardous wastes AND you have never before submitted site identification information, you must submit this form to notify the appropriate State or EPA Regional Office of your activities. Note: You must check with your State to determine if you are eligible to manage
laborat ory hazardous waste pursuant to 40 CFR Part 262, Subpart K in order for you to notify.Site ID Form (continued)

17 • If you will begin managing hazardous secondary material under 40 CFR 261 .2 (a)(2)(ii) 260.30

, 40 CFR 261.4(a)(23), (24), or (25) (2 7 ) AND you have never before submitte d site identification information, you must submit this form, pursuant to 40 CFR 260.42, to notify the appropriate State or EPA Regional Office of your activities. Note: You must check with your State to determine if you are eligible to manage hazardous secondary material under these exclusions in order for you to notify.

TO PROVIDE A SUBSEQU ENT NOTIFICATION (TO UPDATE SITE IDENTIFI CATION

INFORMATION FOR THIS LOCATION)

• You must use this form to submit a subsequent notification if your site already has an EPA Identification Number and you wish to change information (e.g., generator status, new site contact person, new owner, new mailing address, new regulated waste activity, etc.).

• If you have previously submitted site identification information and are a n eligible academic entity opting into or withdrawing from 40 CFR Part 262, Subpart K for managing laboratory hazardous wastes, you must use this form. Note: You must check with your State to determine if you are eligible to manage laboratory hazardous w aste pursuant to 40 CFR Part 262, Subpart K in order for you to notify.

• If you have previously submitted site identification information and are notifying (or re

- notifying) that you will begin managing, are managing, or have stopped managing hazardous se condary
material under 40 CFR 261.2(a )(2)(ii) 260.30 , 40 CFR 261.4(a)(23), (24), or (25) (2 7 ) , you must submit this form, pursuant to 40 CFR 260.42, to notify the appropriate State or Regional Office of your activities. Note: You must check with your State to determine if you are eligible to manage hazardous secondary material under these exclusions in order for you to notify.

AS A COMPONENT OF A FIRST RCRA HAZARDOUS WASTE PART A PERMIT APPLICATION

If your site is planning to treat, s tore, or dispose of hazardous waste on

- site in a unit that is not exempt from obtaining a hazardous waste permit, you must submit this form as part of the Part A Permit Application. Also, if the activity at this site (treatment, storage, or disposal) beca me newly regulated under RCRA Subtitle C and the rules promulgated pursuant to the Act (specifically 40 CFR Parts 260

- 299), you must submit this form as part of the Part A Permit Application.

AS A COMPONENT OF A REVISED RCRA HAZARDO US WASTE PART A PERM IT A PPLICATION

If you must submit a Revised Part A Permit Application to reflect changes that have occurred at your site, you must submit this form as part of your Revised Part A Permit Application. Examples of site changes requiring a Revised Part A Permit A pplication include managing new wastes not identified in the first submission of the form or changes to existing waste treatment processes. When submitting a Revised Part A Permit Application, please include the Amendment Number in the appropriate space.Site ID Form (continued)

18 AS A COMPONENT OF TH E HAZARDOUS WASTE RE PORT (IF MARKED, SEE SUB

- BULLET BELOW)

If you are required to submit a Hazardous Waste Report indicating the amount of hazardous waste you generate, treat, recycle, dispose, ship off

- site, or receive from off

- site, you must fill out this form. A Site ID Form submitted with a Hazardous Waste Report is equivalent to a Subsequent Notification.

SITE WAS A TSD FACIL ITY AND/OR GENERATOR OF ≥ 1,000 KG OF HAZ ARDOUS
WASTE, > 1 KG OF ACU TE HAZARDOUS WASTE, OR > 100 KG OF ACUTE HAZA RDOUS

WASTE SPILL CLEANUP IN ONE OR MORE MONTH S OF THE REPORT YEAR ( OR STATE

EQUIVALENT LQG REGUL ATIONS)

The purpose of this check box is to distinguish between sites that meet the criteria and are required to file a report versus thos e who file voluntarily or by State

- only requirement but were not a treatment, storage, and disposal facility (TSDF) or a Large Quantity Generator (LQG) during the report year. Sites required to file the report should place an “X” in this box, while non

LQ G/TSD sites should not. For more information about who must file a report, refer to “WHO

MUST FILE THE 201 5 7 HAZARDOUS WASTE REPORT” section of the 201 5 7 Hazardous Waste Report Instructions and Form booklet.

ITEM 2

– SITE EPA ID NUMBER

Provide your EPA I dentification Number in Item 2 for this site . The first two characters of the EPA
Identification Number must be a valid State postal code. Be sure to include your EPA Identification number at the top of all pages of the form (as well as on any attachment s to the Site ID Form).

NOTE If this is your Initial Notification for this site, leave the EPA Identification Number blank and proceed to Item 3.

ITEM 3 AND 4

– SITE NAME AND LOCATI ON

Provide the legal name of your site and a complete location address. Please note that the address you give for Item 4, Site Location, must be a physical address, not a post office box or route number. Only foreign hazardous waste transporters, with their headquarters located outside the U.S., may provide a Site Location Country outside of the U.S.

NOTE A new EPA Identification Number is required if you change the location of your site.Site ID Form (continued)

19 ITEM 5

– SITE LAND TYPE

Place an “X’ in the box that best describes the land type of your site. Select only one type: Private, County, District, Federal, Tribal (see below), Municipal, State, or Other. If your site’s Land Type could be described as Municipal and another Land Type, such as County, District, or Tribal, do not place an “X” in Municipal. Instead, choose the other appropriate Land Type. (For example, if your site’s Land Type is both Municipal and County, you would place an “X” in the box for County.) You may explain this in Item 13

– Comments.

Tr ibal

- A member of The l L and which your site is on land belongs to one of the tribes/entities on the list of Federally recognized American Indian tribes and Alaskan Native entities located at: http://www.epa.gov/tribal/whereyoulive/tribes

- a

- z.htm

.

ITEM 6

– NORTH AMERICAN INDUS TRY CLASSIFICATION S YSTEM (NAICS) CODE(S )

Box A must be completed. Completing Boxes B

- D is recommended , if applicable.

BOX A

Provide the North American Industry Classification System (NAICS) code that best describes your site’s primary business production process for your products or services. Referencing the latest version of NAICS codes, use the 6

- digit code (most specific description) if available for your business; if not, use the

5

- digit code; do not enter any four (4) or less digit codes.

BOXES B

– D

List other NAICS codes that describe the other business production processes for your site. Referenc ing
the latest version of NAICS codes, use the 6

- digit code (most specific description) if available for your business; if not, use the 5

- digit code; do not enter any four (4) or less digit codes.

Check with your accounting or business staff to determine y our NAICS code(s); the NAICS code is used in tax reporting and other business reports. You can obtain additional information about NAICS codes at http://www.census.gov/eos/www/naics

.

NOTE C hanges w ill be made to the NAICS codes in 2017 . All sites should confirm their NAICS codes
in the new 2017 NAICS code table prior to completing Item 6

– NAICS Codes. You can obtain
addit ional information about the 2017 NAICS codes at http://www.census.gov/eos/www/naics

.Site ID Form (continued)

20 ITEM 7

– SITE MAILING ADDRESS

Please enter the Site Mailing Address. If the Mailing Address and the Location of Site (Item 4) are the same, you can enter “Same as Item 4” in the box for Item 7.

ITEM 8

– SITE CONTACT PERSON

Enter the name, title, business address, telephone number, extension, fax number, and e

- mail address of the individual who should be contacted regarding the information submitted in the Site ID Form. A Subsequent Notificat ion is recommended when the Site Contact Person changes. Do not enter other contact persons here; if there are other persons, who may be contacted about this submission, list them
and their other contact information in Item 13

– Comments. If the person c ompleting the Hazardous Waste Report this form is not the primary site RCRA hazardous waste contact, enter the primary site RCRA hazardous waste contact here and add the contact information for the person completing the Hazardous Waste Report form in Item 13

– Comments.

NOTE This is NOT the Facility Permit Contact information. The Facility Permit Contact information should be entered on the RCRA Hazardous Waste Part A Permit Application.

ITEM 9

– LEGAL OWNER AND OPER ATOR OF THE SITE

This section should be used to indicate all owners and operators of this site.

A. NAME OF SITE’S LEGAL OWNER

Provide the name of your site’s legal owner(s). This includes owner(s) of the building(s) and land. Please
review these definitions:

Owner

– The person who owns a RCRA site or part of a RCRA site. Note: This includes the owner(s) of the building(s) and/or land. This may be an individual, company, or business name. See Person

.

Person

– An individual, trust, firm, joint stock company, Fede ral Agency, corporation (including a government corporation), partnership, association, State, municipality, commission, political subdivision of a State, or any interstate body.

DATE BECAME AN OWNER

Indicate the date on which the above entity became the o wner of your site. Enter dates as in this example: For April 22, 2015, enter 04/22/2015. This is a required field and a date must be reported.Site ID Form (continued)

21 OWNER TYPE

Place an “X’ in the box that best describes the owner type for your site. Select only one type: P rivate, County, District, Federal, Tribal (see below), Municipal, State, or Other. If your site’s Owner Type could be described as Municipal and another Owner Type, such as County, District, or Tribal, do not place an “X” in Municipal. Instead, choose the other appropriate Owner Type. (For example, if your site’s Owner Type is both Municipal and County, you would place an “X” in the box for Coun ty.) You may explain this

in Item 13

– Comments.

Tribal

- A member of one of the tribes/entities on the list of Federally recognized American Indian tribes
and Alaskan Native entities located at: http://www.epa.gov/tribal/whereyoulive/tribes

- a

- z.htm

.

LEGAL OWNER ADDRESS

Enter the address

, e

- mail

, telephone number, extension, and fax number of the legal owner. If the address and the Location of Site (Item 4) are the same, you can enter “Same as Item 4” in the box for Item 9 A

.
Use the Comments section in Item 13 to list any additional owners, their names, the dates they became owners, owner type, mailing address, and which owner(s), if any, are no longer owners since your last
submission of this form. If necessary, attach a separate sheet of paper. Remember to enter your site’s EPA Identification Number in the top left

- hand corner of each sheet.

B. NAME OF SITE’S OPERA TOR

Provide the name of your site’s operator. Please review these defi nitions:

Operator

– The person responsible for the overall operation of a RCRA site. Note: This is the legal entity which controls the RCRA site operation rather than the plant or site manager. This is usually a company or business name, but may be an i ndividual. See Person

.

Person

– An individual, trust, firm, joint stock company, Federal Agency, corporation (including a government corporation), partnership, association, State, municipality, commission, political subdivision of a State, or any intersta te body.

DATE BECAME AN OPERA TOR

Indicate the date on which the above entity became the operator of your site. Enter dates as in this example: For April 22, 2015, enter 04/22/2015. This is a required field and a date must be reported.

OPERATOR TYPE

Plac e an “X’ in the box that best describes the operator type for your site. Select only one type: Private, County, District, Federal, Tribal (see below), Municipal, State, or Other. If your site’s Operator Type could be described as Municipal and another O perator Type, such as County, District, or Tribal, do not place an “X” in Municipal. Instead, choose the other appropriate Operator Type. (For example, if your site’s Operator Type is both Municipal and County, you would place an “X” in the box for Count y.) You may explain this in Item 13

– Comments.Site ID Form (continued)

22 Tribal

- A member of one of the tribes/entities on the list of Federally recognized American Indian tribes
and Alaskan Native entities located at: http://www.epa.gov/tribal/whereyoulive/tribes

- a

- z.htm

.
Use the Comments section in Item 13 to list any additional operators, their names, the dates they became
operators, operator type, ma iling address, and which operator(s), if any, are no longer operators since your last submission of this form. If necessary, attach a separate sheet of paper. Remember to enter your site’s EPA Identification Number in the top left

- hand corner of each she et.

OPERATOR ADDRESS

Enter the address, e

- mail

, telephone number, extension, and fax number of the operator. If the address and the Location of Site (Item 4) are the same, you can enter “Same as Item 4 ” in the box for Item 9 B

Use the Comments section in Item 13 to list any additional operator s, their names, the dates they became
operators

, operator type, mailing address, and which operator (s), if any, are no longer operators since your last submission of this form. If necessary, attach a separate sheet of paper. Remember to enter your site’s EPA Identification Number in the top left

- hand corner of each sheet.

NOTE A subsequent notification is recommended when the owner or operator of a site changes.
Because an EPA Identification Number is site

- specific, the new owner will keep the existing EPA Identification Number for that location. If your business moves to another location, the owner or operator must notify the Stat e or EPA Regional Office of this change. Since your business has changed locations, a new EPA Identification Number will be assigned.

ITEM 10

– TYPE OF REGULATED WA STE ACTIVITY

Mark box “Yes” or box “No” as appropriate for all current activities (as of the date submitting the form) at this site; complete any additional boxes as instructed. Current activities mean activities that are in effect when the form is submitted or those that the site plans to begin after EPA Identification Number assignment. T he information you provide in Item 10 will be considered current as of the date you certify the form. If the site is no longer a generator as of the date you certify the form, you should mark the “No” (not a generator) box for Generator of Hazardous Waste

.

NOTE You must report your current regulated waste activities as of the date of submitting the

Site ID Form

.

A. HAZARDOUS WASTE ACTI VITIES (COMPLETE ALL PARTS 1 THROUGH 10)Site ID Form (continued)

23 NOTE Listed below are the Federal generator status definitions. If, however, the State where your site is located has definitions different from the Federal definitions, you must use the State
definitions.

1. GENERATOR OF HAZARDO US WASTE (AT YOUR SI TE):

If you generate a hazardous waste that is listed in 40 CFR 261.31 through 261.33 or identified by one or more hazardous waste characteristic(s) contained in 40 CFR 261.21 through 261.24, place an “X” in the appropriate box for the quantity of hazardous was te that is generated per calendar month. The regulations for hazardous waste generators are found in 40 CFR 261.5 for conditionally exempt small quantity generators (CESQGs) and in 40 CFR Part 262 for both small quantity generators (SQGs) and large quantity generators (LQGs). Consult these regulations and your State for details about how the regulations apply to your situat ion. Below is a brief description of the three types of hazardous waste
generators.

If “Yes”, place an “X” in only one of the following

– a, b, or c.

a. LQG: Large Quantity Generator For purposes of providing information in this form, the site is a n LQG if t he site generates any of the following amounts in a calendar month : (i) Greater than or equal to 1,000 kilograms (kg; 2,200 pounds [lbs]) of non

- acute RCRA hazardous
waste; or (ii) Greater than 1 kg (2.2 lbs) of any RCRA acute hazardous waste listed in sections 2 61.31 or 261.33(e) ; or (iii) Greater than 100 kg (220 lbs) of any residue or contaminated soil, waste, or other debris resulting from the cleanup of a spill, into or on any land or water, of any acute hazardous wastes listed in sections 261.31 or 261.33(e).

NOTE As discussed earlier, a RCRA LQG is a site that is neither a CESQG nor a SQG. For purposes of clarity, we describe above the situations when a site would be a n LQG.

If, in addition to being a n LQG, you recycle hazardous wastes at your site, mark both this box
and Item 10.A.4 10.A.7

.

Hazardous secondary material managed under 40 CFR 261 .2 (a)(2)(ii) 260.30 , 40 CFR 261.4(a)(23), (24), or (25) (2 7 ) DOES NOT count towards your generator status. However,

you must check with your State to determine if you are eligible to manage hazardous secondary material under these exclusions.Site ID Form (continued)

24 b. SQG: Small Quantity Generator
This site is a SQG if the site meets all of the following criteria: (i) Generates, in any calendar month, more than 100 kg (220 lbs) but less than 1,000 kg (2,200 lbs) of RCRA hazardous waste; and (ii) Does not generate, in any calendar month, more than 1 kg (2.2 lbs.) of acute hazardous waste listed in sections 261.31 or 261.33(e ) ; and (iii) Does not generate more than 100 kg (220 lbs) of material from the cleanup of any residue or contaminated soil, waste, or other debris resulting from the cleanup of a spill, into or on any land or water, of any acute hazardous wastes listed in sections 261.31 or 261.33(e).

NOTE The definition of a n SQG found at 40 CFR 260.10 is outdated. The EPA plans to make the appropriate conforming change in the future. Moreover, here in this document, for purposes of clarity, we include those situatio ns where a n SQG also may have generated amounts of acute hazardous wastes and still maintain its regulatory status as a n SQG.

c. CESQG: Conditionally Exempt Small Quantity Generator This site is a CESQG if the site generates less than or equal to the following amounts in a calendar
month: (i) 100 kg (220 lbs) of hazardous waste; and (ii) 1 kg (2.2 lbs) of acute hazardous wastes listed in sections 261.31, or 261.33(e); and (iii) 100 k g (220 lbs) of any residue or contaminated soil, waste, or other debris resulting from the cleanup of a spill, into or on any land or water, of any acute hazardous wastes listed in sections 261.31, or 261.33(e).

NOTE A CESQG is defined at 40 CFR 261.5(a) as a site that generates less than or equal to 100 kg (220 lbs) of hazardous waste. However, the regulations at 40 CFR 261.5(e) discuss situations where a CESQG could be subject to full regulation. For purposes of cl arity, we describe all those situations where a site continues to be a CESQG.

If you generate acute hazardous wastes listed in 40 CFR 261.31, 261.32, or 261.33(e), please refer to 40 CFR 261.5(e) to determine the circumstances under which you must notify the

EPA.

If you marked “Yes” above ”Y” for item 10.A.1 Generator of Hazardous Waste , indicate your other
generator activities size in 10.A.1a , 10.A.1b, or through item 10.A.1 c . Mark “Yes” or “No” ”Y” or “N” for
the other hazardous waste activities listed below in item 10.A.2 through item 10.A.10 that may occur at
this site. Complete all parts 2

- 10.Site ID Form (continued)

25 2. SHORT

- TERM GENERATORS

Mark “Yes” if the site is currently generating hazardous waste only as the result of a one

- time, non

recurring, temporary event that is not related to normal production processes. In other words, short

term generators produce hazardous waste from a partic ular activity for a limited time and then cease conducting that activity. Short

- term generators would not be considered episodic generators because episodic generators have the potential to generate on a regular basis (for example, a facility that fluctua tes from SQG to LQG in one month is not a short

- term generator). Examples of short

- term generators include: (1) one

- time highway bridge waste generation; (2) underground storage tank removals; (3) generation of
off

- spec or out

- of

- date chemicals at a site that normally doesn’t generate hazardous waste; (4) remediation or spill clean

- up at sites with no previous RCRA EPA Identification Number; and (5) site or production process decommissions by a new operator. If you mark “Yes”, you must provide an explana tion of your short

- term generation event in Item 13

– Comments.

3. U.S. IMPORTER OF HAZ ARDOUS WASTE

Mark “Yes” if you import hazardous waste from a foreign country a site located in a foreign country into
the U.S. Refer to 40 CFR 262.10(e) and 40 CFR 262.60 (a ) for additional information.

4. MIXED WASTE GENERATO R

Mark “Yes” if you are a generator of mixed waste (waste that is both hazardous and radioactive). RCRA defines “mixed waste” as waste that contains both hazardous waste and source, special nuclear, or by

product material subject to the Atomic Energy Act (AEA), RCRA Section 1004(41), 42 U.S.C. 6903 (63 FR 17414; April 9, 1998). See the “ DEFINITIONS ” section.

5. TRANSPORTER OF HAZAR DOUS WASTE

a. Transporter You transport hazardous waste within the U.S. The Federal regulations for hazardous waste transporters are found in 40 CFR Part 263

.

b. Transfer Facility (at your site)
You are a hazardous waste transfer facility, at your site, if you hold manifested hazardous waste(s) at your site for a period of ten (10) days or less while the waste is in transit. The Federal regulations for
hazardous waste transfer facilities are found in 40 CFR 263.12

.

6. TREATER, STORER, OR DISPOSER OF HAZARDOU S WASTE (AT YOUR SIT E)

If you treat, store, or dispose of hazardous waste, mark “Yes.” A RCRA Hazardous Waste Part B Permit is required for this activity. Co ntact the appropriate office for your State for more information. The Federal regulations for owners and operators of permitted treatment, storage, and disposal facilities (TSDFs) are
found in 40 CFR Parts 264, 265, 266, and 270

.
Mark “No” if any of the following conditions are true for your facility:

• This facility does not receive hazardous waste from other generators and ships all waste off

- site for management within the regulatory timeframe.Site ID Form (continued)

26 • This facility is only involved with on

- going post

- closure activities, corrective actions under the Hazardous and Solid Waste Amendments of 1984 (HSWA), or a consent order under a non

traditional permit or without a RCRA permit being required.

• Receives waste from off

- site but does not store greater than 10 days before re

- shipping (i.e., transfer facility).

NOTE If your site is a destination facility for universal wastes in addition to being a TSDF for other RCRA hazardous wastes, mark “Yes” for both this box and Item 10.B.2.

7. RECYCLER OF HAZARDOU S WASTE (AT YOUR SIT E)

If you recycle regulated hazardous wastes (recyclable materials) at your site, mark “Yes”. The Federal regulations for owners and operators of sites that recycle hazardous waste are found in 40 CFR 261.6

. You also may be subject to other Federal and State regulations; in some cases a permit is required.

NOTE If your site, in addition to being a recycling site for hazardous waste, is a treater, storer, or disposer treats, stores, or disposes of hazardous waste, mark “Yes” for both this box and Item 10.A.6. If your site is a destination facility for universal wastes in addition to being a recycling site for other RCRA hazardous wastes, mark “Yes” for both this box and Item 10.B.2.

8. EXEMPT BOI LER AND/OR INDUSTRIA L FURNACE (AT YOUR S ITE)

If “Yes”, place an “X” in all that apply.

a. Small Quantity On

- Site Burner Exemption You burn small quantities of hazardous waste in an on

- site boiler or industrial furnace in accordance
with the conditions in 40 CFR 266.108 , place an “X” in the box to indicate that you qualify for the Small Quantity On

- Site Burner Exemption.

b. Smelting, Melting, and Refining Furnace Exemption You process hazardous wast es in a smelting, melting, or refining furnace solely for metals recovery,
as described in 40 CFR 266.100(d) , or to recover economically significant amounts of precious metals,
as described in 40 CFR 266.100(g) , or if you process hazardous wastes in a lead recovery furnace to recover lead, as described in 40 CFR 266.100(h)

, place an “X’ in the box to indicate that you qualify for the Smelting, Melting, and Refining Furnace Exemption.

9. UNDERGROUND INJECTIO N CONTROL (AT YOU R SITE)

If you generate, treat, store, or dispose of hazardous waste and place the waste or its residuals i nto an underground injection well (e.g., a Class I well) located at your site, mark “Yes

. ” The Federal regulations for owners and operators of underground injection wells are found in 40 CFR Pa rt 148

.Site ID Form (continued)

27 10. RECEIVES HAZARDOUS W ASTE FROM OFF

- SITE (AT YOUR SITE)

If you received hazardous waste from another site, whether this waste was received as a commercial transaction or waste received from a restricted group of off

- site generators, mark “Yes

. ”

In ad dition to the above, mark “Yes” or “No” for the other regulated waste activities listed below that may occur at this site. Complete Items B, C, and D as appropriate.

B. UNIVERSAL WASTE ACTI VITIES (AT YOUR SITE )

Refer to your State

- specific requirements and definitions for universal waste. Also, refer to 40 CFR 261.9
and 40 CFR Part 273 for the Federal regulations covering universal was te. Complete parts 1 and 2.

1. LARGE QUANTITY HANDL ER OF UNIVERSAL WAST E (LQHUW)

You are an LQHUW if you accumulate a total of 5,000 kg or more total of universal wastes (batteries, pesticides, mercury

- containing equipment, or lamps

– calculated collectively ) at any time. This designation is retained through the end of the calendar year in which the 5,000 kg limit is met or exceeded.
If “Yes

, ” place an “X” in the appropriate box(es) to indicate the type(s) of universal wastes managed at your site. If your State has other additional universal wastes, indicate what they are by placing an “X ” in the corresponding box(es) (10.B.1.e, f, or g).

2. DESTINATION FACILITY FOR UNIVERSAL WASTE

Mark “Yes” if you treat, dispose, or recycle universal wastes on

- site. A hazardous waste permit is required if you treat or dispose of universal wastes; a permit may be required if you recycle universal wastes.

NOTE If your site, in addition to being a destination facility for universal wastes, is also a TSDF for RCRA hazardous wastes, mark “Yes” for both this box and Item 10.A.6. In addition, if your site recycles RCRA hazardous wastes, mark “Yes” for both this box and Item 10.A.7.

C. USED OIL ACTIVITIES

Mark the appropriate box(es) to indicate which used oil management activities are taking place at this site. The Federal regulations for used oil management are found in 40 CFR Part 279

. Complete all parts 1 through 4.

1. USED OIL TRANSPORTER

If “Yes

, ” place an “X” in all that apply.

a. Transporter You transport used oil within the U.S. The Federal regulations for used oil transporters are found in

40 CFR 279.40

- 47.Site ID Form (continued)

28 b. Transfer Facility (at your site) You own or operate a used oil transfer facility. The Federal regulations for used oil transfer facilities
are found in 40 CFR 279.40

- 47.

2. USED OIL PROCESSOR A ND/OR RE

- REFINER (AT YOUR SIT E)

If “Yes

, ” place an “ X” in all that apply.

a. Processor You process used oil. The Federal regulations for processors of used oil are found in 40 CFR 279.50

- 59.

b. Re

- refiner You refine used oil. The Federal regulations for re

- refiner s of used oil are found in 40 CFR 279.50

- 59.

3. OF F

- SPECIFICATION USED O IL BURNER (AT YOUR S ITE)

You burn off

- specification used oil fuel. Mark “Yes” to indicate this used oil management activity.

4. USED OIL FUEL MARKET ER (AT YOUR SITE)

If “Yes

, ” place an “X” in all that apply.

a. Marketer Who Directs Shipme nt of Off

- Specification Used Oil to Off

- Specification Used Oil Burners You are a marketer who directs shipment of off

- specification used oil to off

- specification used oil burners. The Federal regulations for off

- specification used oil used oil fuel marketers are found in 40

CFR 279.70

- 75.

b. Marketer Who First Claims the Used Oil Meets the Specification You are the first to claim that used oil meets the used oil specification s established in 40 CFR 279.11.

NOTE If either of these boxes is marked, you must also notify (or have previously notified) as a used oil transporter (10.C.1), used oil processor/re

- refiner (10.C.2), or off

- specification used oil fuel burner (10.C.3), unless you are a used oil generator. (Used oil generators are no t required to notify.)

D. ELIGIBLE ACADEMIC EN TITIES WITH LABORATO RIES

– NOTIFICATION FOR OPT ING INTO OR

WITHDRAWING FROM MAN AGING LABORATORY HAZ ARDOUS WASTES PURSUA NT TO 40
CFR PART 262, SUBPAR T K

Note: Fill out Box D ONLY if you are at least one of the following: a college or university; a teaching hospital that is owned by or has a formal written affiliation agreement with a college or university; or a

non

- profit research institute that is owned by or has a formal written affiliation agreement with a college or university; AND you have checked with your State to determine if 40 CFR Part 262, Subpart K is effective in your State and for any State

- specific requirements. See EPA’s website for moreSite ID Form (continued)

29 information about these regulations : http://www.epa.gov/wastes/hazard/generation/labwaste/implementation.htm http://www2.epa.gov/hwgenerators/regulations

- hazardous

- waste

- generated

- academic

- laboratories

Subpart K is an optional alternative set of requireme nts for eligible academic entities with laboratories. Certain generators (i.e., eligible academic entities defined under (1) below) are eligible to operate under Subpart K for management of their hazardous wastes in laboratories in lieu of 40 CFR 262.34(c ) (or 40 CFR 261.5 for CESQGs). Eligible academic entities with laboratories that generate hazardous waste that elect to opt into Subpart K, are currently operating under Subpart K, or subsequently withdraw from Subpart K must complete this section to mee t the notification requirements of this Subpart. Refer to 40 CFR 262.203
and 40 CFR 262.204

.

NOTE Eligible academic entities wit h laboratories must complete a separate Site ID Form for each site (i.e., EPA Identification Number) that is managing hazardous waste under Subpart K. All laboratories with the same EPA Identification Number will be regulated under this Subpart. If eligi ble academic entities with laboratories withdraw from Subpart K, all laboratories with the same EPA Identification Number associated with the withdrawal from Subpart K will be regulated under 40 CFR 262.34(c) requirements (or 40 CFR 261.5 for CESQGs).

1. OPTING INTO OR CURRE NTLY OPERATING UNDER 40 CFR PART 262, SUB PART K FOR THE

MANAGEMENT OF HAZARD OUS WASTES IN LABORA TORIES

Mark “Yes” for this box if you are an eligible academic entity and you elect to opt into or are currently operating under 40 CFR Part 262, Subpart K for the hazardous wastes generated in your laboratories. If you mark “Yes” for this box, you must place an “X” in at least one of the following to indicate your type of eligible academic entity. Place an “X” in all that apply:

a. College or University You are an eligible college or university if you are a private or public, post

- secondary, degree

- granting, academic institution, that is accredited by an accrediting agency listed annually by the U.S. Department of Education.

b. Teaching Hospital that is owned by or has a formal written affiliation agreement with a college or university You are an eligible teaching hospital if you are a hospital that trains students to become physicians, nurses, or other health personnel and is either: (1) owned b y a college or university, or (2) has a master affiliation agreement and program letter of agreement, as defined by the Accreditation Council for Graduate Medical Education, with an accredited medical program or medical school.

c. Non

- profit Institute that i s owned by or has a formal written affiliation agreement with a college or university You are an eligible non

- profit institute if you are an organization that conducts research as its primar y function and files as a non

- profit organization under the tax code of 26 U.S.C. 501(c)(3) and is either: (1) owned by a college or university, or (2) has a formal written affiliation agreement with a collegeSite ID Form (continued)

30 or university that establishes a relationship between institutions for the purposes of research and/or education and is signed by authorized representatives from each institution. A relationship on a project

- by

- project or grant

- by

- grant basis is not considered a formal written affiliation agreement.

2. WITHDRAWING FROM 40 CFR PART 262, SUBPAR T K FOR THE MANAGEME NT OF

HAZARDOUS WASTES IN LABORATORIES

Mark “Yes” for this box if you have previously elected to opt into 40 CFR Part 262, Subpart K and are now withdrawing from participation in this optional s et of alternative requirements for hazardous waste generation in laboratories. Withdrawing generators will automatically revert to regulation under 40 CFR 262.34(c) requirements (or 40 CFR 261.5 for CESQGs). If marking “Yes” for this box, please include

comments in Item 13

– Comments that explain your reasons for withdrawing from Subpart K.

ITEM 11

– DESCRIPTION OF HAZAR DOUS WASTES

Complete this item if you marked “Yes” for any activity 1 (a

- c), 6, 7, or 8 in Item 10.A

. You will need to
refer to 40 CFR Part 261 to complete this item. Part 261 identifies those solid wastes which the EPA defines as hazardous and regulates under RCRA. If you need help completing this section, please contac t your State Office.

A. WASTE CODES FOR FEDE RALLY REGULATED HAZA RDOUS WASTES

Please list the waste codes of the Federal hazardous wastes (described in 40 CFR Part 261) handled at your site. List them in the order they are presented in the regulations using the appropriate 4

- digit code(s) (e.g., D001, D003, F007, U112).

NOTE If you handle more hazardous wastes than will fit under Item 11.A, please continue under

Item 13

– Comments or on an extra sheet. Remember to include your EPA Identification
Number o n the top of each page. If you handle a large number of codes, you may copy the list in this booklet and mark the ones that you handle. Attach any additional sheets to the Site ID Form. Remember to include your EPA Identification Number on the top of ea ch page.

B. WASTE CODES FOR STAT E

- REGULATED (I.E., NON

- FEDERAL) HAZARDOUS W ASTES

If you manage State

- regulated hazardous wastes that have a State waste code, enter the appropriate code(s) in the box(es) provided. Please list the waste codes of the State

- regulated hazardous wastes handled at your site in the order they are presented in the regulations.Site ID Form (continued)

31 NOTE If you handle more hazardous wastes than will fit under Item 11.B, please continue under

Item 13

– Comments or on an extra sheet. Remember to include your EPA Identification Number on the top of each page.

ITEM 12

– NOTIFICATION OF HAZA RDOUS SECONDARY MATE RIAL (HSM) ACTIVITY

A. Mark “Yes” if you are notifying under 40 CFR 260.42 that you will begin managing, are still managing, or will stop managing hazardous secondary material under 40 CFR 261.2(a )(2)(ii) 260.30 , 40 CFR 261.4(a)(23), (24), or (25) (2 7 ) . Mark “No” if you are not notifying under 40 CFR 260.42. Note: You

must check with your State to determine if you are eligible to manage hazardous secondary material under these regulations.

NOTE If you mark “Yes

, ” you must fill out the Addendum to the Site ID Form: Notifica tion of Hazardous Secondary Material Activity. See instructions for this Addendum after Item 14.

B. Mark “Yes ” if you are submitting a legitimate recycling notification under 40 CFR 260.43(a)(4)(iii)

. Recycling of hazardous secondary materials for the purpose of the exclusions or exemptions from hazardous waste regulations must be legitimate. You must notify EPA if the product of your recycling process has levels of hazardous constituents that are not comparable to a legitimate product or
intermediate

, but the recycling is still legitimate. The recycling can be shown to be legitimate based on lack of exposure from toxics in the product, lack of the bioavailability of the toxics in the product, or other relevant considerations which show that the recycled product does not contain levels of hazardous constituents that pose a significant human health or environmental risk. Documentation of legitimacy must be maintained onsite for three years. If you’d like to submit additional information regarding your rec ycling

, use the Comments Box in Item 13.

Mark “No” if you are not notifying under this provision. Notification is not required if the product of the recycling process is comparable to a legit imate product or intermediate per 40 CFR 260.43(a)(4)(i) or (ii)

.

ITEM 13

– COMMENTS

Use this section as needed to provide additional information for Items 1 through 12. Include the item number and box letter (if any) for each comment you make. You may attach additional sheets if needed. Remember to include your EP A Identification Number on the top of each page.Site ID Form (continued)

32 ITEM 14

– CERTIFICATION

This certification must be signed and dated by the owner(s), operator(s), responsible official(s), or authorized representative(s) of the site. See 40 CFR 270.11 for more information on signatories in general.
See also 40 CFR 270.10(b) for additional Hazardous Waste Part A Permit Application signatory specifics. An “authorized representative” is a person responsible for the overall operation of the site (i.e., a plant manager or superintendent, or a person of equal responsibility).

NOTE All Site ID Form submissions must include this certification to be complete.33 

## ADDENDUM TO THE SITE IDENTIFICATION FORM:

NOTIFICATION OF HAZA RDOUS SECONDARY MATE RIAL ACTIVITY

YOU MUST FILL OUT TH IS SECTION IF:

• You are located in a State that allows you to manage excluded hazardous secondary material
under 40 CFR 261.2(a )(2)(ii) 260.30 , 261.4(a)(23), (24), or (25) (2 7 ) . See http://www.epa.gov/ep awaste/hazard/dsw/statespf.htm for a list of eligible States; AND

• You will begin managing, are still managing, or will stop managing excluded hazardous secondary material under 40 CFR 261.2(a )(2)(ii) 260.30 , 40 CFR 261.4(a)(23), (24), or (25) (27)
and mu st notify the appropriate State or Regional Office of your activities, pursuant to 40 CFR 260.42. These regulations exclude certain hazardous secondary material being reclaimed from the RCRA Subtitle C definition of solid waste provided certain requiremen ts and conditions are met. See EPA’s website for more information about these regulations: http://www.epa.gov/osw/hazard/dsw/rulemaking.htm

.
Complete all parts 1

– 3 1 and 2

.

NOTE You must be managing excluded hazardous secondary material in compliance with

40 CFR 261.2(a )(2)(ii) 260.30 , 261.4(a)(23), (24), and/or (25) (27) (or State equivalent). Do not include any information regarding your hazardous wastes in this section. See 73 FR

64668 or http://www.epa.gov/epawaste/hazard/dsw/impresource.htm for more
information on these exclusions.

You must submit a completed Site ID Form, including this Addendum, prior to operating under the exclusion(s) and by March 1 of each even

- numbered year thereafter to your regulatory authority using the Site ID Form as pursuant to 40 CFR 260.42. Persons who must satisfy this notification requirement can submit this inform ation at the same time as their Hazardous Waste Report (which is also due by March 1 of each even

- numbered year).

If you stop managing hazardous secondary material in accordance with the exclusion(s) and do not expect to manage any amount of hazardous sec ondary material under the exclusion(s) for at least one year, you must also submit a completed Site ID Form, including this Addendum, within thirty (30) days pursuant to 40 CFR 260.42.

Remember to include your EPA Identification Number on the top of each page.34 ITEM 1

– INDICATE REASON FOR NOTIFICATION (INCLUD E DATES WHERE REQUES TED)

Place an “X” in the box for the reason that applies to you:

FACILITY WILL BEGIN MANAGING EXCLUDED HAZARDOUS S ECONDARY MATERIAL AS OF (MM/DD/YYYY)

Place an “X ” in this box if you are notifying that you will begin managing hazardous secondary material under the exclusion(s).

• Facilities must notify prior to operating under the exclusion(s).

• If placing an “X ” in this box, list the date (mm/dd/yyyy) when you will begin managing hazardous secondary material under 40 CFR 261.2(a )(2)(ii) 260.30 , 40 CFR 261.4(a)(23), (24), or (25) (2 7 )

. Note: If the facility had previously notified that it will stop managing hazardous secondary material in the past but will now begin anew, list the next planned start date.

FACILITY IS STILL MANAGING EXCLUDED HAZARDOUS S ECONDARY MATERIAL/RE

NOTIFYING AS REQUIRED BY MARCH 1 OF EACH EVEN

- NUMBERED YEAR

Place an “X” in this box if you are re

- notifying that you are still managing hazardous secondary material under the exclusion(s). Note: You must have previously notified that you began managing hazardous secondary material in order to check this box.

• Facilities must re

- notify by March 1 st of each even

- numbered year.

• If placing an “X” in this box, you do not have to list a date.

FACILITY HAS STOPPED MANAGING EXCLUDED HA ZARDOUS SECONDARY MA TERIAL AS OF (MM/ DD/YYYY) AND IS NOTI FYING AS REQUIRED

Place an “X” in this box, if you are notifying that you have stopped managing hazardous secondary material under the exclusion(s) and do not expect to manage any amount of hazardous secondary material for at
least one year (pursuant to 40 CFR 260.42(b)). List the date when you stopped managing hazardous secondary material. Enter the date in “mm/dd/yyyy” format.

• Facilities must notify within 30 days of when they stopped managing hazardous secondary
material. You are c onsidered to have stopped managing hazardous secondary material if: (1) you stop managing hazardous secondary material completely (e.g., you cease operations); (2) you choose to manage the hazardous secondary material as hazardous waste; (3) you undergo c losure and request release from financial assurance per 40 CFR 261.143(h) or 40 CFR 264.143 ; or (4) you temporarily suspend management of hazardous secondary material for at least one year.

• Only place an “X” in this box if you have stopped managing all hazardous secondary material under the exclusion(s). For example, if your facility only stopped managing one hazardous secondary material, but continued to manage another hazardous secondary material, you would leave this box blank since your facility con tinues to manage some amount of hazardous secondary material.35 • If you submit a notification that you have stopped managing hazardous secondary material, you
do not need to re

- notify (unless you choose to manage hazardous secondary material again, in
which case you would have to submit a notification prior to managing). After submitting a stop notification, you can leave the Addendum blank for subsequent submissions, including any subsequent Hazardous Waste Report submissions.

ITEM 2

– DESCRIPTION OF EXCLU DED HAZARDOUS SECOND ARY MATERIAL (HSM) A CTIVITY

In the table provided on the Addendum to the Site Identification Form, list your appropriate facility code, each waste code for the hazardous secondary material you manage, the estimated and actual quantities in short tons for each hazardous secondary material, and the appropriate land

- based code for how you manage the hazardous secondary material. Do not include any information regarding your hazardous
wastes in this section. See examples below on how to an swer this question.

a. Facility Code Using the facility codes, found in the “ HAZARDOUS SECONDARY MATERIAL (HSM) FACILITY CODES ” section of this booklet, enter the appropriate 2

- digit code(s) that correctly describes your facility. If more than one code applies to your facility, enter each 2

- digit code on a separate row. Each hazardous secondary material should be reported by facility code.

b. Waste Code(s) for HSM Use the box provided to enter the appropriat e 4

- digit hazardous waste code(s) that would apply to your hazardous secondary material if you managed it as hazardous waste (i.e., the waste code(s) that would apply if you did not manage your material in accordance with 40 CFR 261.2(a )(2)(ii) 260.30

, 40 CFR 261.4(a)(23), (24), or (25) (2 7 ) ).

NOTE If you list more codes or manage more hazardous secondary material than will fit in the table under Item 2, please continue under Item 13

– Comments, or on an extra sheet. Remember to include your EPA Identification Number on the top of each page.

c. Estimate Short Tons of Excluded HSM to be Managed Annually In the box provided, enter your estimated tonnage (using short tons) of hazardous secondary material you expect to manage annually. Convert all ph ysical quantities (e.g., gallons, cubic yards, kilograms, metric tons, etc.) to short tons (1 short ton = 2,000 pounds) and round to the nearest ton (no decimals). Note: Your estimated tonnage should be for the entire amount of hazardous secondary

materi al to be reclaimed NOT just the quantity of constituent or product reclaimed.36 d. Actual Short Tons of Excluded HSM Managed During the Most Recent Odd

- Numbered Year Report the tonnage (using short tons) of each hazardous secondary material you actually managed during the most recent odd

- numbered year. For example, if you are submitting this notification on February 20, 2016, enter the amount you actually managed duri ng 2015 (i.e., the tonnage you managed from January 1, 2015 to December 31, 2015). Convert all physical quantities (e.g., gallons, cubic yards, kilograms, metric tons, etc.) to short tons (1 short ton = 2,000 pounds) and round to the nearest ton (no decim als). Note: Your actual tonnage should be for the entire amount of hazardous secondary material that was sent for reclamation NOT just the quantity of constituent or product reclaimed. If this is your initial notification, enter “0

. ”

e. Land

- based Unit Co de Using the land

- based unit codes, found in the “ HAZARDOUS SECONDARY MATERIAL (HSM) LAND

BASED UNIT CODES ” section of this booklet, enter in the 2

- digit code that best describes the land

based unit you use or will use to manage the hazardous secondary material. If you do not use any
land

- based units, enter “NA

. ” If you use the code “OT” (Other), please describe your land

- based unit

in Item 13

– Comments. If more than one land

- based unit code applies t o a hazardous secondary material, list it separately using another row.

EXAMPLES FOR REPORTI NG HAZARDOUS SECONDA RY MATERIAL ACTIVITY

EXAMPLE 1

A pharmaceutical manufacturer generates spent solvents that are characteristic for ignitability (D001).
The manu facturer plans to manage spent solvents under 40 CFR 261. 2 (a) (2) ( ii ) 40 CFR 261.4(a)(23) and 261.4(a)(24) by sending some amount to a reclaimer within its own company and the rest off

- site to a
reclamation recycling facility within the U.S. The manufacturer will not manage any spent solvents in a
land

- based unit. Following the regulations, the manufacturer submits an initial notification prior to managing its spent solvents under the exclusions. The facility would report its hazardous secondary material activity as follows:

a. Facility code (answer

using codes listed in
the Code List section of the instructions) b. Waste Code(s) for hazardous secondary material (HSM) c. Estimated short tons
of HSM to be managed annually d. A ctual short tons of
HSM that was managed during the
most recent odd

numbered year e. Land

- based unit code (answer using codes
listed in the Code List
section of the instructions)

02 D001 15 0 NA

06 D001 40 0 NA

EXAMPLE 2

A steel manufacturer generates electric arc furnace dust and spent pickle liquor from one of its steel operations. The manufacturer sends electric arc furnace dust (K061) off

- site to a reclamation recycling facility within the U.S. and reclaims spent pickle liquor (K062) on

- site. Neither hazardous secondary material is managed in a land

- based unit. The steel manufacturer has managed both hazardous secondary
material under 40 CFR 261.2(a) (2) ( ii ) 40 CFR 261. 4(a)(23) and 261.4(a)(24) for a number of years and it is

now time to re

- notify. The facility would report its hazardous secondary material activity as follows:37 a. Facility code (answer

using codes listed in
the Code List section of the instructions) b. Was te Code(s) for hazardous secondary material (HSM) c. Estimated short tons
of HSM to be managed annually d. Actual short tons of
HSM that was managed during the
most recent odd

numbered year e. Land

- based unit code (answer using codes
listed in the Code List
section of the instructions)

01 K062 60 52 NA

06 K061 20,000 22,468 NA

EXAMPLE 3

A reclamation A RCRA

- permitted recycling facility has been receiving and reclaiming spent solvents under 40 CFR 261.2(a) (2) ( ii ) 40 CFR 261.4(a)(23) and 261.4(a)(24) for a number of years. The facility receives and reclaims spent solvents from multiple hazardous secondary material generators, some of which are within the same company. No spent solvents are managed in a land

- based unit. It is now time to re

notify. The facility would report its hazardous secondary material activity as follows:

a. Facility code (answer

using codes listed in
the Code List section of the instructions) b. Waste Code(s) for hazardous secondary material (HS M) c. Estimated short tons
of HSM to be managed annually d. Actual short tons of
HSM that was managed during the
most recent odd

numbered year e. Land

- based unit code (answer using codes
listed in the Code List
section of the instructions)

03 D001; F002; F003; F005 6,000 7,533 NA

03 D001; D035; F002; F003 1,500 918 NA

07 D001; F002; F003; F005 3,000 3,509 NA

07 D001; D038; F002; F003 1,000 523 NA

EXAMPLE 4

A smelting operation generates furnace bricks that are characteristic for chromium (D007) and sends them
off

- site for reclamation recycling . Before shipping the bricks off

- site, the facility manages some of the bricks in a containment building and the rest in a pile on the land. The facility has been managing the bricks under 40 CFR 261.4(a)(24) for a number of years and must now re

- notify. The facility would report its activity as follows:

a. Facility code (answer

using codes listed in
the Code List sectio n of the instructions) b. Waste Code(s) for hazardous secondary material (HSM) c. Estimated short tons
of HSM to be managed annually d. Actual short tons of
HSM that was managed during the
most recent odd

numbered year e. Land

- based unit code (answer using codes
listed in the Code List
section of the instructions)

06 D007 200 235 NA

06 D007 115 126 PL

EXAMPLE 5

An A RCRA

- permitted intermediate facility has been managing wastewater treatment sludges from electroplating operations (F006) for the past seven years but, due to company consolidation, it will soon shut down. In accordance with 40 CFR 260.42, the facility notifies that it will stop managing hazardous secondary material. The facility would report its activity as follows:

a. Facility code (answer

using codes listed in
the Code List section of the instructions) b. Waste Code(s) for hazardous secondary material (HSM) c. Estimated short tons
of HSM to be managed annually d. Actual short tons of
HSM that was managed during the
most recent odd

num bered year e. Land

- based unit code (answer using codes
listed in the Code List
section of the instructions)

08 F005 0 5,034 NA38 ITEM 3

– FACILITY HAS FINANCI AL ASSURANCE PURSUAN T TO 40 CFR 261.4(A) (24)(VI)

Financial assurance is required for reclaimers (07, 11) and intermediate (08) facilities managing hazardous secondary material under 40 CFR 261.4(a)(24) and (25). See EPA’s website for more information about these regulations: http://www.epa.gov/epawaste/hazard/dsw/impresource.htm

.

• Mark “Yes,” if you have financial assurance pursuant to 40 CFR 261.4(a)(24)(vi) AND you use at least one facility code that is 07, 08, or 11 in Item 2.a above. For example, the facilities in Examples 3 and 5 above are required to have financial assurance because the facility codes are 07 and 08, respectively.

• Mark “No,” if you do NOT have financial assurance pursuant to 40 CFR 261.4(a)(24)(vi). Note: Reclaimers (07, 11) and intermediate (08) facilities must have financial assurance in order to manage hazardous secondary material under 40 CFR 261.4(a)(24) and (25). Answering “No” to this question may mean you are in violation of these regulations if you report facility codes 07, 08, or 11. For example, the facilities in Examples 1, 2, and 4 above are not required to have financial assurance because these facilities did not report fa cility codes of 07, 08, or 11.

# Notification of RCRA Subtitle C Activity

OTHER REFERENCE INFO RMATION

AND

CODE LISTSDefinitions (continued)

40 

## EXCLUDED WASTES

This section presents a partial list of excluded materials and wastes. This list includes materials excluded from the definition of solid waste in 40 CFR 261.4(a) and solid wastes excluded from the definition of hazardous waste in

40 CFR 261.4(b). In addition, it also includes specific solid w aste samples that are excluded from the definition of hazardous waste in 40 CFR 261.4(d)

- (f). Finally, this list includes specific hazardous wastes, as described in 40 CFR 261.4(c), that are exempted from certain RCRA Subtitle C regulations.

Agricultural Waste Fertilizer §261.4(b)(2)

Analytical Samples

– A Sample Of Solid Waste Or A Sample Of Water, Solid, Or Air, Which Is Collected For The Sole Purpose Of Testing To Determine Its Characteristics Or Composition §261.4(d)

Arsenic Treated Wood and Wood
Products §261.4(b)(9)

Carbon Dioxide Stream Injected For Geologic Sequestration. Carbon
Dioxide Stream s That Are Captured And Transported For Purposes Of Injection Into An Underground Injection Wells, Including The Requirements in 40 CFR Parts 144 And 146 Of The Underground Injection Control Program Of The Safe Drinking

Water Act §261.4(h )

Cement Kiln Dust §261.4(b)(8)

Coking By

- products §261.4(a)(10)

Comparable/Syn gas Fuels §261.4(a)(16)

Domestic Sewage §261.4(a)(1)

Dredged Material That Is Subject To The Requirements Of A Permit That
Has Been Issued Under 404 Of The
Federal Water Pollution Control Act (33 U.S.C. 1344) Or Section 103 Of The Marine Protection, Research, And Sanctuaries Act of 1972 (33 U.S.C. 1413) §261.4(g) Drilling Flu id §261.4(b)(5)

Excluded Scrap Metal Being Recycled §261.4(a)(13)

Exported Wastes
§262.56

Fossil Fuel Emission Control Waste §261.4(b)(4)

Hazardous Secondary Material Being
Remanufactured §261.4(a)(27)

Hazardous Secondary Material s Generated And Legitimately
Reclaimed Under The Control Of The

Generator §26 1.4(a)(23 )

Hazardous Secondary Material
Generated and Reclaimed Under the

Con trol of the Generator 40 CFR §261.2(a)(2)(ii)

40 CFR §261.4(a)(23)

Hazardous Secondary Material
That Is Generated And Then
Transferred To A Verified Reclamation Facility For The Hazardous Secondary
Material Purpose Of Reclamation
§26 1.4(a)(24 )

Hazardous Secondary Material
Transferred Off

- site for Reclamation to A Verified Recyc ler

40 CFR §261.4(a)(25)

40 CFR §261.4(a)(24)

Hazardous Secondary Material Used to Make Zinc Fertilizers, Provided That
The Follow ing Conditions Specified Are
Satisfied §261.4(a)(20) Household Waste §261.4(b)(1)(i)

- (ii)

HTMR C ondenser Residue §261.4(a)(11)

In situ Mining Materials §261.4(a)(5)

Irrigation Return Flows §261.4(a)(3)

Kraft Mill Steam Stripper Condensates §261.4(a)(15)

Leachate Or G as Condensate Collected
From Landfills Where Certain Solid

Wastes Have Been Disposed §261.4(b ) (15)

Mining and Mineral Process Wastes §261.4(b)(7)

Mining Overburden §261.4(b )(3)

Non

- terne plated used oil filters that
are not mixed with wastes listed in subpart D of this part if these oil filters have been gravity hot

- drained using one of the following methods:

- §261.4(b)(13)

Nuclear Material §261.4(a)(4)

Oil Filters §261.4(b)(13)

Petrochemical Recovered Oil §261.4(a)(18)

Petroleum

- contaminated Media and
Debris §261.4(b)(10)

Petroleum Refining §261.4(a)(12)Definitions (continued)

41 Pulping Liquor §261.4(a)(6)

Refrigerants §261.4(b)(12)

Secondary Material Returned to Original Process §261.4(a)(8)

Secondary Material from Mineral Processing §261.4(a)(17)

Shredded Circuit Boards Being Recycled §261.4(a)(14)

Solid Waste That Would Otherwise
Meet The Definition Of Low

- level Mixed Wastes (LLMW) Pursuant to
§266.210 §261.4(b)(17)

Solvent

- Contaminated Wipes , Except For Wipes That Are Hazardous Waste
Due To The Presence Of Trichloroethylene, That Are Sen t F or Disposal Are Not Hazardous Waste
From The Point Of Generation §261.4(b)(18) Solvent

- Contaminated Wipes Sent for Cleaning or Disposal §261.4(a)(26)

Spent Caustics from Petroleum Refining §261.4(a)(19)

Spent Wood Preserving Solutions and

Wastewaters §261.4(a)(9)

Sulfuric Acid §261.4(a)(7)

Treatability Study Samples §261.4(e)

Treatability Studies at Laboratories and Testing Facilities §261.4(f)

Trivalent Chromium Waste §261.4(b)(6)

Used Cathode Ray Tubes (CRTs) §261.4(a)(22)

Used Chlorofluorocarbon Refrigerants From Totally Enclosed Heat Transfer Equipment §261.4(b)(1 2) Used Oil Distillation Bottoms §261.4(b)(14)

Used Oil Re

- refining Distillation
Bottoms That Are Used As Feedstock To Manufacture Asphalt Products §261.4(b)(14)

Wastes Generated in Storage Tanks, Transport Vehicles, Pipelines, or Manufacturing Process Units §261.4(c)

Wastewater Point Source Discharg e §261.4(a)(2)

Zinc Fertilizers Made From Hazardous Wastes, Or Hazardous Secondary
Material That Are Excluded Under Paragraph (a)(20) Of This Section §261.4(a)(21)Definitions (continued)

42 

## DEFINITIONS

This section contains definitions of terms helpful for completing the form. For terms defined in the Code of Federal Regulations (CFR), the appropriate citation is provided.

A CCUMULATION

– A site that does not hold RCRA Interim Status or a RCRA permit may accumulate hazardous waste for a short period of time before shipping it off

- site. The waste must be accumulated in either tanks or containers; it may not be accumulated in surface impo undments.

Generators of more than 1,000 kg (2,200 lbs) of hazardous waste per month may accumulate their waste for up to 90 days before shipping it off

- site. Generators of 100 k ilo g rams ( kg; 220 pounds [ lbs ] ) to 1,000 kg (2,200 lbs) of hazardous waste per month may accumulate their waste for up to 180 days before shipping it off

- site. If the nearest treatment, storage, disposal, or recycling facility to which they can send their waste is more than 200 miles away, they may accumulate their waste for 270 da ys. See 40 CFR 262.34.

A CT OR RCRA

– The Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act of 1976, as amended by the Hazardous and Solid Waste Amendments of 1984, 42 U.S.C. Section 6901
et seq

.

A CUTE H AZARDOUS W ASTE

– An y hazardous waste with an EPA hazardous waste code beginning with the letter “P” (40 CFR 261.33(e)) or any of the following “F” codes: F020, F021, F022, F023, F026, and F027 (40 CFR 261.31). These wastes are subject to stringent quantity standards for ac cumulation and generation (40 CFR 261.5(e)).

A UTHORIZED R EPRESENTATIVE

– The person responsible for the overall operation of the site or an operational unit (i.e., part of a site), e.g., superintendent or plant manager, or person of equivalent responsibili ty.

A UTHORIZED S TATE

– A State that has obtained authorization from the EPA to direct its own RCRA program.

B OILER

– An enclosed device using controlled flame combustion and having the following characteristics:

• The unit has physical provisions for recover ing and exporting energy in the form of steam, heated fluids, or hea t ed gases;

• The unit’s combustion chamber and primary energy recovery section(s) are of integral design (i.e., they are physically formed into one manufactured or assembled unit);

• The unit continuously maintains an energy recovery efficiency of at least 60 percent, calculated in terms of the recovered energy compared with the thermal value of the fuel;

• The unit exports and utilizes at least 75 percent of the recovered energy, calculated on a n annual basis (excluding recovered heat used internally in the same unit, for example, to preheat fuel or combustion air or drive fans or feedwater pumps); or

• The unit is one which the Regional Administrator has determined, on a case

- by

- case basis, to be a boiler, after considering the standards in 40 CFR 260.32.

B Y

- PRODUCT M ATERIAL

– A by

- product material is (1) any radioactive material (except special nuclear material) yielded in or made radioactive by exposure to the radiation incident to the process of producing or utilizing special nuclear material; and (2) the tailings or wastes produced by the extraction or concentration of uranium or thorium from any ore processed primarily for its source material content (defined in the Atomic Energy Act of 1954)

.Definitions (continued)

43 C ODE OF F EDERAL R EGULATIONS (CFR)

– Codification of the general and permanent rules published in the Federal Register by the Executive departments and agencies of the Federal Government. The Code is divided into 50 titles which represent broad areas su bject to Federal regulation. Each title is divided into chapters that usually bear the name of the issuing agency. Each chapter is further subdivided into parts covering specific regulatory areas. The CFR title applicable for the Haza r dous Waste Report is “40,” as in “40 CFR 262.34.”

C ONDITIONALLY E XEMPT S MALL Q UANTITY G ENERATOR (CESQG) OF H AZARDOUS W ASTE is a generator who generates less than or equal to the following amounts in a calendar month: (i) 100 kilograms (kg; 220 pounds [lbs]) of hazardous wa ste; and (ii) 1 kg (2.2 lbs) of acute hazardous wastes listed in sections 261.31, or 261.33(e); and (iii) 100 kg (220 lbs) of any residue or contaminated soil, waste, or other debris resulting from the cleanup of a spill, into or on any land or water, of a ny acute hazardous wastes listed in sections 261.31, or 261.33(e).

C ONFIDENTIAL B USINESS I NFORMATION (CBI)

– Information a facility does not wish to make available to the general public for competitive business reasons. Confidential Business Information (CBI) may be claimed for certain information in your submittal. A claim may be made in accordance with 40 CFR Part 2, Subpart B.

D ELISTED W ASTE

– Site

- specific wastes excluded from regulation under 40 CFR 260.20 and 260.22. A waste at a particular generating site may be excluded by petitioning the EPA Administrator for a regulatory
amendment. These wastes a re listed in Appendix IX of 40 CFR Part 261.

D ISPOSAL

– The discharge, deposit, injection, dumping, spilling, leaking, or placing of any solid waste or hazardous waste into or on any land or water so that such solid waste or hazardous waste or any

constit uent thereof may enter the environment or be emitted into the air or discharged into any waters, including groundwaters.

E LIGIBLE A CADEMIC E NTITY

– A college or university, or a non

- profit research institute that is owned by or has
a formal written affili ation with a college or university, or a teaching hospital that is owned by or has a formal written affiliation with a college or university pursuant to 40 CFR Part 262

, Subpart K (See 40 CFR 262.200).

E NVIRONMENTAL P ROTECTION A GENCY (EPA)

– The EPA, also called U.S. EPA, means the U.S. Environmental Protection Agency. Some State environmental authorities may be called the EPA also, as in “Illinois
EPA.”

EPA I DENTIFICATION (ID) N UMBER

– The number assigned by the EPA to each hazardous waste generator,
h azardous waste transporter, and treatment, storage, or disposal facility; U.S. importer of hazardous waste; mixed waste (hazardous and radioactive) generator; recycler of hazardous waste; exempt boiler and/or industrial furnace burning or processing hazard ous waste; large quantity handler of or destination facility for universal wastes; disposer of hazardous waste with an underground injection permit; used oil transporter, used oil processor/re

- refiner, off

- specification used oil fuel burner, used
oil fuel marketer; eligible academic entity managing laboratory hazardous waste under Subpart K; or site undergoing corrective action. Additionally, facilities that must notify using the Site ID Form andDefinitions (continued)

44 Addendum to the Site Identification Form that they are manag ing hazardous secondary material will also be assigned an EPA I dentification N umber.

E XCLUDED W ASTES

– Wastes excluded from the definition of solid or hazardous waste under 40 CFR 261.3 and 261.4. For a partial listing, see the “ EXCLUDED WASTES ” section of this booklet.

H AZARDOUS W ASTE

– A hazardous waste as defined in 40 CFR 261.3.

H AZARDOUS S ECONDARY M ATERIAL (HSM)

– A secondary material (e.g., spent material, by

- product, or sludge) that, when discarded, would be id entified as hazardous waste under 40 CFR Part 261. Facilities managing hazardous secondary material under 40 CFR 260.30 , 40 CFR 261.4(a)(23), (24), or (2 7 ) must complete the Addendum to the Site Identification Form: Notification for Managing Hazardous

Se condary Material. You must check with your State to determine if you are eligible to manage hazardous secondary material under these exclusions (see also http://www.epa.gov/epawaste/hazard/dsw/statespf.htm ).

H AZARDOUS W ASTE G ENERATOR

– Any person, by site, whose act or process produces hazardous waste
identified or listed in 40 CFR Part 261.

H AZARDOUS W ASTE N UMBER OR C ODE , EPA

– The number (or code) assig ned by the EPA to each hazardous waste listed in 40 CFR Part 261, Subpart D and to each characteristic identified in 40 CFR Part 261, Subpart C. The codes consist of one letter (D, F, P, U, or K) and three numbers . For a list of EPA
hazardous waste codes see the “ EPA HAZARDOUS WASTE CODES ” section of this booklet.

H AZARDOUS W ASTE N UMBER OR C ODE , S TATE

– The number (or code) assigned by the State to each hazardous waste listed in the State regulations. Obtain a lis t of the States waste codes from your State.

H AZARDOUS W ASTE S TORAGE

– The holding of hazardous waste for a temporary period, at the end of which the hazardous waste is treated, disposed of, or stored elsewhere.

H AZARDOUS W ASTE T RANSFER F ACILITY

– Refer to “Transfer Facility” definition.

H AZARDOUS W ASTE T RANSPORTER

– Refer to “Transporter” definition.

H AZARDOUS W ASTE T REATMENT

– Any method, technique, or process, including neutralization, designed to change the physical, chemical, or biological character or composition of any hazardous waste so as to neutralize such hazardous waste, or so as to recover energy or material resources from the hazardous waste, or so as to render such hazardous waste nonhazardous, or less hazardous; safer to transpor t, store, or dispose of; or amenable for recovery, amenable for storage, or reduced in volume. Such term includes any activity or processing designed to change the physical form or composition of
hazardous waste so as to render it nonhazardous.

I NCINERA TION

– Burning of certain types of solid, liquid, or gaseous materials; or a treatment technology involving destruction of waste by controlled burning at high temperatures (e.g., burning sludge to remove the water and reduce the remaining residues to a saf e, non

- burnable ash that can be disposed safely on land, in some waters, or in underground locations).Definitions (continued)

45 I NDUSTRIAL F URNACE

– Any of the following enclosed devi c es that are integral components of manufacturing processes and that use thermal treatment to acc omplish recovery of materials or energy: cement kilns; lime kilns; aggregate kilns; phosphate kilns; coke ovens; blast furnaces; smelting, melting, and refining furnaces; titanium dioxide chloride process oxidation reactors; methane reforming furnaces;

pu lping liquor recovery furnaces; combustion devices used in the recovery of sulfur values from spent sulfuric acid; halogen acid furnaces, as defined under industrial furnace in 40 CFR 260.10; and such other devices as the Administrator may add to this list

.

I NTERIM (P ERMIT ) S TATUS

– Period during which the owner/operator of an existing TSD facility is treated as having been issued a RCRA permit even though he/she has not yet received a final determination. An existing facility should have automatically qu alified for interim status if the owner/operator filed both timely “notification” and the first part (Part A) of the RCRA permit application. Interim status continues until a final determination is made to issue or deny the permit. Owner/operator of new facilities cannot by definition qualify for interim status; rather, they need a RCRA permit prior to beginning construction of a hazardous waste management facility.

L ARGE Q UANTITY G ENERATOR (LQG) OF H AZARDOUS W ASTE

– is a generator who generates any of the following amounts in a calendar month : (i) Greater than or equal to 1,000 kilograms (kg; 2,200 pounds [lbs]) or more of hazardous waste;

or (ii) Greater than 1 kg (2.2 lbs) of any acute hazardous wastes listed in §§ 261.31 or 261.33 (e); or (iii) Gre ater than 100 kg (220 lbs) of any residue or contaminated soil, waste, or other debris resulting from the cleanup of a spill, into or on any land or water, of any acute hazardous wastes listed in sections 261.31 or 261.33(e).

L ARGE Q UANTITY H ANDLER OF U NIVERSAL W ASTE (LQHUW)

– A universal waste handler (as defined in 40 CFR 273.9) who accumulates 5,000 kilograms ( kg ) or more total of universal wastes (batteries, pesticides,

mercury

- containing equipment, or lamps

– calculated collectively) at any time. This designation is retained through the end of the calendar year in which the 5,000 kg limit is met or exceeded.

M ANAGEMENT , OR H AZARDOUS W ASTE M ANAGEMENT

– Systematic control of the collection, source separation, storage, transportation, processing, tre atment, recovery, or disposal of hazardous waste (40 CFR 260.10).

M ANIFEST , U NIFORM H AZARDOUS W ASTE

– The shipment document EPA Form 8700

- 22 and, if necessary,

Form 8700

- 22A, originated and signed by a generator in accordance with the instructions include d in
the A ppendix to 40 CFR Part 262. The “cradle

- to

- grave” paperwork must accompany a shipment of hazardous waste as it moves from the generator to the transporter and eventually to the hazardous waste management facility.

M IXED W ASTE

– Waste that conta ins both hazardous and source, special nuclear, or by

- product material subject to the Atomic Energy Act (AEA), RCRA section 1004(41), 42 U.S.C. 6903 (63 FR 17414; April 9, 1998).

M UNICIPALITY

– A city, village, town, borough, county, parish, district, association, Indian tribe or authorized Indian tribal organization, designated and approved management agency under SectionDefinitions (continued)

46 208 of the Clean Water Act, or any other public body created by or unde r State law and having jurisdiction over disposal of sewage, industrial wastes, or other wastes.

O FF

- SITE F ACILITY

– A hazardous waste treatment, storage, disposal, or recycling area located at a place away from the generating site.

O FF

- S PECIFICATION U SE D O IL B URNER

– A site where used oil not meeting the specification requirements in 40 CFR 279.11 (off

- specification used oil) is burned for energy recovery in devices identified in Section 279.61(a).

O FF

- S PECIFICATION U SED O IL F UEL

– Used oil fuel that do es not meet the specification provided under 40 CFR

279.11.

O N

- SITE F ACILITY

– A hazardous waste treatment, storage, disposal, or recycling area located on the generating site.

O N

- S PECIFICATION U SED O IL F UEL

– Used oil fuel that meets the specification p rovided under 40 CFR 279.11.

O PERATOR

– The person responsible for the overall operation of a RCRA site. Note: This is the legal entity which controls the RCRA site operation rather than the plant or site manager. This is usually a company or business name, not an individual. See Person

.

O WNER

– The person who owns a RCRA site or part of a RCRA site. Note: This includes the owner(s) of the building(s) and/or land. This may be an individual, company, or business name. See Person

.

P ERSON

– An individual, trust, firm, joint stock company, Federal Agency, corporation (including a government corporation), partnership, association, State, municipality, commission, political subdivision of a State, or any interstate body.

R ESOURCE C ONSERVATIO N AND R ECOVERY A CT (RCRA)

– The Solid Waste Disposal Act as amended by the Resource Conservation and Recovery Act (RCRA) (40 CFR 270.2). It is the Federal statute that regulates the generation, treatment, storage, disposal, recycling, and/or transportatio n of solid and hazardous

waste.

RCRA I NTERIM (P ERMIT ) S TATUS

– Refer to “Interim (Permit) Status” definition.

RCRA P ERMIT

– A complete RCRA permit is comprised of an operating permit for hazardous waste treatment, storage, and disposal, and a corrective action permit addressing releases from solid waste management unit (SWMUs). To apply for a permit, a site must file a two

- part application (Part A and Part B). A facility is not considered to have a complete RCRA permit until both parts have been issued.

RCRA S UBTITLE C S ITE (RCRA S ITE OR S ITE )

– The physical plant or location at which one or more of the following regulated waste activities occurs: the generation, transportation, treatment, storage, or disposal of hazardous wastes; recycling of hazardo us wastes; U.S. importer of hazardous waste; mixed waste (hazardous and radioactive) generator; exempt boiler and/or industrial furnace burning or processing hazardous waste; large quantity handler of or destination facility for universal wastes; disposing hazardous waste with an underground injection permit; the transportation (and temporaryDefinitions (continued)

47 storage during transportation), processing/re

- refining, burning, or marketing of used oil; eligible academic entity managing laboratory hazardous waste under Subpart K ; facility managing hazardous secondary material being reclaimed that must comply with certain requirements and conditions; or undergoing corrective action.

A site may consist of several treatment, storage, or disposal operational units. For entities th at only transport regulated wastes, the term site refers to the headquarters of that entity’s operations.

R ECYCLING

– Use, reuse, or reclamation of a material (40 CFR 261.1(c)(7)). “Reclamation” is the processing or regeneration of a material to recover a usable product (e.g., recovery of lead values from spent batteries, regeneration of spent solvents) (40 CFR 261.1( c)(4)). A material is “used or reused” if it is either: (1) employed as an ingredient (including use as an intermediate) in an industrial process to make a product (e.g., distillation bottoms from one process used as feedstock in another process) (40

CFR 261.1(c)(5)). However, a material will not satisfy this condition i f distinct components of the material are recovered as separate end products (as when metals are recovered from metal

containing secondary material); or (2) a commercial product (e.g., sp ent pickle liquor used as phosphorous precipitant and sludge conditioner in wastewater treatment).

S HORT

- TERM G ENERATOR

– A generator whose generator status is the result of a one

- time, non

- recurring, temporary event that is not related to normal product ion processes. In other words, short

- term generators produce hazardous waste from a particular activity for a limited time and then cease conducting that activity. Short

- term generators would not be considered episodic generators because episodic generat ors have the potential to generate on a regular basis. Examples of short

- term generators include: one

- time highway bridge waste generation, underground storage tank removals, generation of off

- spec or out

- of

- date chemicals at a site that normally does no t generate hazardous waste, remediate or spill clean

- up sites with no previous RCRA EPA Identification Number, and site or production process decommissions by a new operator.

S MALL Q UANTITY G ENERATOR (SQG) OF H AZARDOUS W ASTE

– is a generator if the site meets all of the following

criteria: (i) Generates, in any calendar month, more than 100 kilograms (kg; 220 pounds [lbs]) but less than 1,000 kg (2,200 lbs) of RCRA hazardous waste; and (ii) Does not generate, in any calendar month, m ore than 1 kg (2.2 lbs) of acute hazardous waste listed in sections261.31 or 261.33(e) ; and (iii) Does not generate more than 100 kg (220 lbs) of material from the cleanup of any residue or contaminated soil, waste, or other debris resulting from the cleanup of a spill, into or on any land or water, of any acute hazardous wastes listed in sections 261.31 or 261.33(e).

S MALL Q UANTITY O N

- SITE B URNER E XEMPTION

– The persons who burn small quantity of hazardous waste in

an on

- site boiler or industrial furnace, in ac cordance with 40 CFR 266.108, are conditionally exempt from regulation for that activity.

S MELTING , M ELTING , AND R EFINING F URNACE E XEMPTION

– Under 40 CFR 266.100(c), owners or operators of smelting, melting, and refining furnaces that process hazardous w astes solely for metals recovery are conditionally exempt from regulation, except for 40 CFR 266.101 and 266.112, provided they comply with limited requirements set forth in Section 266.100(c). Similarly, 40 CFR 266.100(f) provides that
owners or operator s of smelting, melting, and refining furnaces that process hazardous wastes for theDefinitions (continued)

48 recovery of precious metals are conditionally exempt from regulation, except for 40 CFR 266.112, provided they comply with limited requirements specified in Section 266.100 (f).

S OLID W ASTE

– Any garbage, refuse, or sludge, or other materials not excluded under 40 CFR 261.4(a). Exclusions include, for example, domestic sewage and any mixture of other wastes that pass through a sewer system to a publicly owned treatment work s (POTWs); industrial wastewater discharges that are point source discharges subject to regulation under the Clean Water Act; irrigation return flows; nuclear materials defined by the Atomic Energy Act; and in situ mining materials (see the “ EXCLUDED

WASTES ” section of this booklet). Wastewaters being collected, stored, or treated before discharge and sludges generated by wastewater treatment are not excluded. The EPA defines hazardous waste
as a subset of solid waste.

S OURCE M ATERIAL

– As defined by the Atomic Energy Act of 1954: (1) Uranium, thorium, or any other material determined by the Nuclear Regulatory Commission pursuant to the provisions of Section 2091 of this title to be source material; or (2) ores containing one or more of the foregoing materials in such concentration as the Commission may by regulation determine from time to time.

S PECIAL N UCLEAR M ATERIAL

– As defined by the Atomic Energy Act of 1954: (1) plutonium, uranium enriched in the isotope 233 or in the isotope 235, and any other material which the Nuclear Regulatory Commission, pursuant to the provisions of Section 2071 of this title, determines to be special nuclear material, but does not include source material; or (2) any material artificially enriched by an y of the foregoing, but does not include source material.

S UBPART K

– An alternative set of generator requirements for managing laboratory hazardous waste at eligible academic entities. Generators that are eligible academic entities with laboratories may elect to opt into 40 CFR 262 Subpart K and manage their laboratory hazardous waste under Subpart K in lieu of 40 CFR 262.34(c) (or 40 CFR 261.5 for CESQGs). In order for eligible academic entities (see definition) to opt into Subpart K or subsequently wi thdraw from Subpart K, they must use the Site ID Form to notify the appropriate State or EPA Regional Office. Refer to 40 CFR 262.203 and 262.204.

Note: You must check with your State to determine if you are eligible to manage laboratory hazardous

waste pursuant to 40 CFR Part 262 Subpart K and for any S tate

- specific requirements.

T OLLING

– Tolling arrangements describe a particular type of recycling contract between two companies. Specifically, the “tolling” company certifies that it has a contract with a manufacturer to produce a product, and that manufacturing process generates a resid ual material that can be recycled by the tolling company. If the tolling company certifies that the contract specifies that the tolling company owns and has responsibility for the recyclable material once it is generated, and the material is
returned to t he tolling company for reclamation, and subsequently recycled, the material is excluded from regulation (under 40 CFR 261.4(a)(23)), provided certain requirements are met.

T RANSFER F ACILITY

– Any transportation

- related facility including loading docks, pa rking areas, storage areas, and other similar areas where shipments of hazardous waste are held for 10 days or less during the normal course of transportation ( 40 CFR 261.2(a)(2)(ii) 40 CFR 261.4(a)(23) and 40 CFR 263.12).

T RANSPORTER

– A person engaged i n the off

- site transportation of hazardous waste by air, rail, highway, or

water.Definitions (continued)

49 U NDERGROUND I NJECTION C ONTROL

– The subsurface emplacement of fluids through a bored, drilled or driven well; or through a dug well, where the depth of the dug well is great er than the largest surface dimension. Underground injection wells are regulated under both the Safe Drinking Water Act and the Resource Conservation and Recovery Act (see 40 CFR Part 148).

U NITED S TATES I MPORTER

– Any person who imports hazardous waste from a site located in a foreign country
into the U.S . This does not include hazardous waste shipped from a foreign Department of Defense site, Maquiladora, U.S. territory or protectorate.

U NIVERSAL W ASTE

– Any of the following hazardous wastes that are managed under the universal waste requirements of 40 CFR Part 273: batteries, pesticides, mercury

- containing equipment, and lamps. Some States may have State

- specific universal wastes defined as well.

U SED O IL

– Any oil that has been refined from crude oil, or any synthetic oil, that has been used, and as a result of such use, is contaminated by physical or chemical impurities.

U SED O IL F UEL M ARKETER

– Any person who conducts either of the following activities:

1. Directs a shipment of off

- specification used oil from their site to an off

- specification used oil burner; or

2. First claims that used oil that is to be burned for energy recovery meets the used oil fuel specifications set forth in 40 CFR 279.11.

U SED O IL M ANAGEMENT A CTIVITIES

– For the purposes o f the Site ID Form, includes used oil transportation; used oil processing and re

- refining; burning off

- specification used oil fuel; and used oil fuel marketing.

U SED O IL P ROCESSING

– Chemical or physical operations designed to produce from used oil, or to make used oil more amenable for production of, fuel oils, lubricants, or other used oil

- derived products. Processing includes, but is not limited to: blending used oil with virgi n petroleum products, blending used oils to meet the fuel specification, filtration, simple distillation, chemical or physical separation,
and re

- refining.

U SED O IL P ROCESSOR

– A site that processes on

- specification or off

- specification used oil.

U SED O I L R E

- R EFINER

– A site that produces lubricating oils and greases, industrial fuel, asphalt extender, gasoline, and other products from on

- specification or off

- specification used oil.

U SED O IL T RANSFER F ACILITY

– Any transportation

- related facility, includ ing loading docks, parking areas, storage areas, and other areas where shipments of used oil are held for more than 24 hours during the normal course of transportation and not longer than 35 days. Transfer facilities that store used
oil for more than 35 d ays are subject to regulation under 40 CFR Part 279, Subpart F.

U SED O IL T RANSPORTER

– Any person who transports used oil, any person who collects used oil from more than one generator and transports the collected oil, and owners and operators of used oi l transfer facilities. Used oil transporters may consolidate or aggregate loads of used oil for purposes of transportation but, with the following exception, may not process used oil. Used oil transporters may conduct incidental processing operations tha t occur in the normal course of used oil transportationDefinitions (continued)

50 (e.g., settling and water separation), but that are not designed to produce (or make more amenable for production of) used oil

- derived products or used oil fuel.51 

## EPA HAZARDOUS WASTE CODES

A list of all the hazardous waste codes is shown below. See the regulations for details.

CHARACTERISTICS OF HAZARDOUS WASTE (SEE 40 CFR 261.24)

– DXXX

HAZARDOUS WASTE FROM NON

- SPECIFIC SOURCES (SEE 40 CFR 261.31)

– FXXX

HAZARDOUS WASTE FROM SPECIFIC SOURCES (SEE 40 CFR 261.32)

- KXXX DISCARDED COMMERCIAL CHEMICAL PRODUCTS, OFF

SPECIFICATION SPECIES, CONTAINER RESID UES , AND SPILL

RESIDUES THEREOF

– ACUTE HAZARDOUS WASTE (SEE 40 CFR 261.33)

– PXX X

DISCARDED COMMERCIAL CHEMICAL PRODUCTS, OFF

SPECIFICATION SPECIES, CONTAINER RESIDUES, AND SPILL

RESIDUES THEREOF

– TOXIC WASTES (SEE 40 CFR 261.33)

– UXXX

D001

D002

D003

D004

D005

D006

D007

D008

D009

D010

D011

D012

D013

D014

D015

D016

D017

D018

D019

D020

D021

D022

D023

D024

D025

D026

D027

D028

D029

D030

D031

D032

D033

D034

D035

D036

D037

D038

D039

D040

D041

D042

D043 F001

F002

F003

F004

F005

F006

F007

F008

F009

F010

F011

F012

F019

F020

F021

F022

F023

F024

F025

F026

F027

F028

F032

F034

F035

F037

F038

F039 K001

K002

K003

K004

K005

K006

K007

K008

K009

K010

K011

K013

K014

K015

K016

K017

K018

K019

K020

K021

K022

K023

K024

K025

K026

K027

K028

K029

K030

K031

K032

K033

K034

K035

K036

K037

K038

K039

K040

K041

K042

K043

K044

K045

K046 K047

K048

K049

K050

K051

K052

K060

K061

K062

K069

K071

K073

K083

K084

K085

K086

K087

K088

K093

K094

K095

K096

K097

K098

K099

K100

K100

K101

K102

K103

K104

K105

K106

K107

K108

K109

K110

K111

K112

K113

K114

K115

K116

K117

K118 K123

K124

K125

K126

K131

K132

K136

K141

K142

K143

K144

K145

K147

K148

K149

K150

K151

K156

K157

K158

K159

K161

K169

K170

K171

K172

K174

K175

K176

K177

K178

K181 P001

P002

P003

P004

P005

P006

P007

P008

P009

P010

P011

P012

P013

P014

P015

P016

P017

P018

P020

P021

P022

P023

P024

P026

P027

P028

P029

P030

P031

P033

P034

P036

P037

P038

P039

P040

P041

P042

P043

P044

P045

P046

P047

P048

P049 P050

P051

P054

P056

P057

P058

P059

P060

P062

P063

P064

P065

P066

P067

P068

P069

P070

P071

P072

P073

P074

P075

P076

P077

P078

P081

P082

P084

P085

P087

P088

P089

P092

P093

P094

P095

P096

P097

P098

P099

P101

P102

P103

P104

P105 P106

P108

P109

P110

P111

P112

P113

P114

P115

P116

P118

P119

P120

P121

P122

P123

P127

P128

P185

P188

P189

P190

P191

P192

P194

P196

P197

P198

P199

P201

P202

P203

P204

P205 U001

U002

U003

U004

U005

U006

U007

U008

U009

U010

U011

U012

U014

U015

U016

U017

U018

U019

U020

U021

U022

U023

U024

U025

U026

U027

U028

U029

U030

U031

U032

U033

U034

U035

U036

U037

U038

U039

U041

U042

U043

U044

U045

U046

U047 U048

U049

U050

U051

U052

U053

U055

U056

U057

U058

U059

U060

U061

U062

U063

U064

U066

U067

U068

U069

U070

U071

U072

U073

U074

U075

U076

U077

U078

U079

U080

U081

U082

U083

U084

U085

U086

U087

U088

U089

U090

U091

U092

U093

U094 U095

U096

U097

U098

U099

U101

U102

U103

U105

U106

U107

U108

U109

U110

U111

U112

U113

U114

U115

U116

U117

U118

U119

U120

U121

U122

U123

U124

U125

U126

U127

U128

U129

U130

U131

U132

U133

U134

U135

U136

U137

U138

U140

U141

U142 U143

U144

U145

U146

U147

U148

U149

U150

U151

U152

U153

U154

U155

U156

U157

U158

U159

U160

U161

U162

U163

U164

U165

U166

U167

U168

U169

U170

U171

U172

U173

U174

U176

U177

U178

U179

U180

U181

U182

U183

U184

U185

U186

U187

U188 U189

U190

U191

U192

U193

U194

U196

U197

U200

U201

U202

U203

U204

U205

U206

U207

U208

U209

U210

U211

U213

U214

U215

U216

U217

U218

U219

U220

U221

U222

U223

U225

U226

U227

U228

U234

U235

U236

U237

U238

U239

U240

U243

U244

U246 U247

U248

U249

U271

U278

U279

U280

U328

U353

U359

U364

U367

U372

U373

U387

U389

U394

U395

U404

U409

U410

U41152 

## HAZARDOUS SECONDARY MATERIAL ( HSM ) FACILITY CODES

Facility codes describe the specific regulation a facility uses to manage its hazardous secondary material (HSM) and the type of activity the facility performs under the regulation (e.g., generator, reclaimer). Review the groups and pick the appropriate code. If more than one facil ity code applies to you, enter each code on a separate row under Item 2 of the Addendum to the Site ID Form.

Under Control of the Generator Exclusion (40 CFR 261.2(a)(2)(ii) or 261.4(a)(23)) Under Generator Exclusion (40 CFR 261.4(a)(23))

Code Facility Code Description

01 HSM Generator reclaiming HSM “on

- site”: This code applies if you generate and reclaim hazardous secondary material at your generating facility. See also paragraph (1) in the Federal definition of “Hazardous secondary material generated and reclaimed under the control of the generator” in 40 CFR Part 260.10. See also 40 CFR 261.4(a)(23)(i)(A).

02 HSM Generator transferring HSM to reclaimer within the “same company”: This code applies if you generate hazardous secondary materia l and send the material for reclamation to a different facility that is either controlled by you or controlled by the same person that controls your generating facility. See also paragraph (2) in the Federal definition of “Hazardous secondary material gen erated and reclaimed under the control of the generator” in 40 CFR

Part 260.10. See also 40 CFR 261.4(a)(23)(i)(B).

03 Reclaimer receiving HSM from HSM generator within the “same company”: This code applies if you receive and reclaim hazardous secondary material from a different facility that either controls you or is controlled by the same person that controls you. See also paragraph (2) in the Federal definition of “Hazardous secondary material genera ted and reclaimed under the control of the generator” in 40 CFR Part 260.10. See also 40 CFR 261.4(a)(23)(i)(B).

04 Tolling Contractor reclaiming HSM pursuant to a tolling contract: This code applies if you are a tolling contractor that

r eclaims hazardous secondary material pursuant to a written contract with a toll manufacturer. See also paragraph (3) in the Federal definition of “Hazardous secondary material generated and rec laimed under the control of the generator” in 40 CFR Part 260. 10. See also 40 CFR 261.4(a)(23)(i)(C).

05 Toll Manufacturer managing HSM pursuant to a tolling contract: This code applies if you generate and send hazardous secondary material for reclamation to a tolling contractor pursuant to a written contract. See also paragraph (3) in the Federal definition of “Hazardous secondary material generated and reclaimed under the control of the generator” in 40 CFR Part 260.10. See also 40 CFR 261.4(a)(23)(i)(C).

Transfer

- based Exclusion (40 CFR 261.4(a)(24)) Verified Recycler Exclusion (40 CFR 261.4(a)(24))

Code Facility Code Description

06 HSM Generator transferring HSM off

- site to a domestic reclamation permitted or verified recycling facility: This code applies if you generate and send hazardous seconda ry material for reclamation to an off

- site domestic reclamation permitted or verified recycling facility.

07 Permitted Reclaimer receiving HSM from off

- site: This code applies if you have a RCRA Part B permit, or operate under interim status standards, and reclaim hazardous secondary material received from an off

- site domestic hazardous secondary material generator or other domestic facility. (If you do not have a RCRA Part B permit and are not operating under interim status standards and, instead, have obtained a variance to receive hazardous secondary material under this exclusion, use code 17 below.)

08 Permitted Intermediate facility: This code applies if you have a RCRA Part B permit, or operate under interim status standards, and receive hazardous secondary material from an off

- site domestic hazardous secondary material generator
or another domestic facility and you store it for more than ten days. This code does not apply if you generate or reclaim the hazardous secondary material. (If you do not have a RCRA Part B permit and are not operating under interim status standards and, instead, have obtained a variance to receive hazardous secondary material under this exclusion, use code 18 below.)

09 HSM Generator exporting HSM off

- site to a foreign re clamation facility: This code app lies if you generate and export hazardous secondary material for reclamation to a foreign reclamation facility. (Reserved)

10 HSM Generator importing HSM from a foreign entity to send to another domestic reclamation facility: This code applies if you import hazardous secondary material from a foreign entity and send the mater ial for reclamation to a domestic reclamation facility

. HSM Generator importing HSM from a foreign entity to send to recycling: This code applies if you import hazardous secondary material from a foreign entity and send the material for reclamation to a permitted or verified recycling facility.53 11 HSM Gener ator AND Reclaimer of imported HSM: This code applies if you import ha zardous secondary material from a foreign entity and reclaim the material at your facility. HSM Generator AND Permitted Reclaimer of imported HSM: This code applies if you import hazar dous secondary material from a foreign entity and reclaim the material at your facility under a RCRA Part B permit or under interim status standards. (If you do not have a RCRA Part B permit and are not operating under interim status standards and, instead , have obtained a variance to receive hazardous secondary material under this exclusion, use code 18 below.)

Imports/Exports (40 CFR 261.4(a)(24) or (25)) Remanufacturing Exclusion (40 CFR 261.4(a)(27))

Code Facility Code Description

12 HSM Generator transferring HSM off

- site to a remanufacturer: This code applies if you generate and send hazardous secondary material to a remanufacturer in the pharmaceutical, basic organic chemical, plastics and resins, and/or paint and coatings manufactu ring sectors.

13 Remanufacturer receiving HSM from off

- site: This code applies if you remanufacture hazardous secondary material
received from an off

- site domestic hazardous secondary material generator. You must be in the pharmaceutical, basic organic c hemical, plastics and resins, and/or paint and coatings manufacturing sectors to use this code.

Non

- waste Determinations and Solid Waste Variances (40 CFR 260.30)

Code Facility Code Description

14 Variance for Materials that are Accumulated Speculatively: This code applies if you operate under an approved variance from EPA or your State for materials that are accumulated speculatively without sufficient amounts being recycled (see 40 CFR 260.31(a))

. 15 Variance for Materials that are Reclaimed and then Reused within the Original Production Process: This code applies if you operate under an approved variance from EPA or your State for materials that are reclaimed and then reused as
feedstock within t he original production process in which the materials were generated (see 40 CFR 260.31(b))

. 16 Variance for Materials that are Partially

- Reclaimed: This code applies if you operate under an approved variance from EPA or your State for materials that have been partially

- reclaimed but must be reclaimed further before recovery is completed if the partial reclamation has produced a commodity

- like material (see 40 CFR 260.31(c))

. 17 Variance for HSM transferred for reclamation and managed at a verified reclam ation facility: This code applies if you operate under an approved variance from EPA or your State for hazardous secondary materials that are transferred to you for reclamation under 40 CFR 261.4(a)(24) (see 40 CFR 260.31(d)) . (If you have not obtained a v ariance to receive hazardous secondary material under this exclusion and, instead, have a RCRA Part B permit or operate under interim status standards, use code 07 above.)

18 Variance for HSM transferred and managed at a verified intermediate facility: Th is code applies if you operate under an approved variance from EPA or your State for hazardous secondary materials that are transferred to you for storage greater than 10 days under 40 CFR 261.4(a)(24) (see 40 CFR 260.31(d)) . (If you have not obtained a va riance to receive hazardous secondary material under this exclusion and, instead, have a RCRA Part B permit or operate under interim status standards as an intermediate facility, use code 08 above.)

19 Variance for HSM imported AND managed at a verified r eclamation facility: This code applies if you operate under an approved variance from EPA or your State for hazardous secondary materials that are imported to you for reclamation at your site under 40 CFR 261.4(a)(24) (see 40 CFR 260.31(d)) . (If you have n ot obtained a variance to receive hazardous secondary material under this exclusion and, instead, have a RCRA Part B permit or operate under interim status standards, use code 07 above.)

20 Non

- waste determination for HSM reclaimed in a continuous industr ial process: This code applies if you operate under an approved non

- waste determination from EPA or your State for hazardous secondary material which is reclaimed in a continuous industrial process (see 40 CFR 260.34(b))

. 21 Non

- waste determination for HSM that are indistinguishable from a product or intermediate: This code applies if you operate under an approved non

- waste determination from EPA or your State for hazardous secondary materials which is indistinguishable in all relevant aspects from a product or intermediate (see 40 CFR 260.34(c))

.54 

## HAZARDOUS SECONDARY MATERIAL ( HSM ) LAND

- BASED UNIT C ODES

A 2

- digit code that best describes the land

- based unit you use or will use to manage the hazardous secondary material.

Code Land

- based Unit Code Description

NA Do not use land

- based units to manage hazardous secondary material.

SI Use surface impoundment(s) to manage hazardous secondary material. A surface impoundment is a natural topographic depression, man

- made excavation or diked are a formed primarily of earthen materials (although it may be lined with man

- made materials), which is designed to hold an accumulation of liquid hazardous secondary materials or materials containing free liquids and
which is not an in jection well.

PL Use pile(s) to manage hazardous secondary material. Pile means any non

- containerized accumulation of solid, non

- flowing hazardous secondary material that is used for storage and is not a containment building.

OT Use other land

- based uni t(s) to manage hazardous secondary material.55 

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SEND COMPLETED FORM TO: The Appropriate State or Regional Office. 

### United States Environmental Protection Agency RCRA SUBTITLE C SITE IDENTIFICATION FORM

1. Reason for Submittal

MARK ALL BOX(ES) THAT APPLY Reason for Submittal:

 To provide an Initial Notification (first time submitting site identification information / to obtain an EPA ID number for this location)

 To provide a Subsequent Notification (to update site identification information for this location)

 As a component of a First RCRA Hazardous Waste Part A Permit Application

 As a component of a Revised RCRA Hazardous Waste Part A Permit Application (Amendment # )

 As a component of the Hazardous Waste Report (If marked, see sub

- bullet below)

 Site was a TSD facility and/or generator of >1,000 kg of hazardous waste, >1 kg of acute hazardous waste, or >100 kg of acute hazardous waste spill cleanup in one or more months of the report year (or State equivalent LQG regulations)

2. Site EPA ID Number EPA ID Number

3. Site Name Name:

4. Site Location Information Street Address:

City, Town, or Village: County:

State: Country: Zip Code:

5. Site Land Type Private County District Federal Tribal Municipal State Other

6. NAICS Code(s) for the Site (at least 5

- digit codes) A.

- C

. -

B

. - D.

-

7. Site Mailing Address Street or P.O. Box:

City, Town, or Village:

State: Country: Zip Code:

8. Site Contact Person First Name: MI: Last:

Title:

Street or P.O. Box:

City, Town or Village:

State: Country: Zip Code:

Email:

Phone: Ext : Fax :

EPA Form 8700

- 12, 8700

- 13 A/B, 8700

- 23 Page 1 of9. Legal Owner and Operator of the Site A. Name of Site’s Legal Owner: Date Became Owner:

Owner Type: Private County District Federal Tribal Municipal State Other

Street or P.O. Box:

City, Town, or Village:

State: Country: Zip Code:

Email:

Phone: Ext: Fax:

Notes:

B. Name of Site’s Operator: Date Became Operator: Operator

Type: Private County District Federal Tribal Municipal State Other

Street or P.O. Box:

City, Town, or Village:

State: Country: Zip Code:

Email:

Phone: Ext: Fax:

Notes:

EPA Form 8700

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10. Type of Regulated Waste Activity (at your site) Mark “Yes” or “No” for all current activities (as of the date submitting the form); complete any additional boxes as instruct ed.

A. Hazardous Waste Activities; Complete all parts 1

- 10.

Y N 1. Generator of Hazardous Waste If “Yes

, ” mark only one of the following

– a, b, or c. Y N 5. Transporter of Hazardous Waste If “Yes

, ” mark all that apply.

a. LQG: Generates, in any calendar month, 1,000 kg/mo (2,200 lbs/mo.) or more of non

- acute hazardous waste; or Generates, in any calendar month, or accumulates at any time, more than 1 kg/mo (2.2 lbs/mo) of acute hazardous waste; or Generates, in any calendar month, or accumulates at any time, more than 100 kg/mo (220 lbs/mo) of acute hazardous spill cleanup material. a. Trans porter

b. Transfer Facility (at your site)

Y N 6. Treater, Storer, or Disposer of Hazardous Waste Note: A hazardous waste Part B permit is required for these activities.

Y N 7. Recycler of Hazardous Waste

b. SQG: 100 to 1,000 kg/mo (220

– 2,200 lbs/mo) of

non

- acute hazardous waste and no more than 1 kg (2.2 lbs) of acute hazardous waste and no more than 100 kg (220 lbs) of any acute hazardous spill cleanup material

. c. CESQG: Less than or equal to 100 kg/mo (220 lbs/mo) of

non

- acute hazardous waste. Y N 8. Exempt Boiler and/or Industrial Furnace If “Yes

, ” mark all that apply.

If “Yes” above, indicate other generator activities in 2

- 10

. a. Small Quantity On

- site Burner Exemption

Y N 2. Short

- Term Generator (generate from a short

- term or one

- time event and not from on

- going processes). If “Yes

, ” provide an explanation in the Comments section. b. Smelting, Melting, and Refining Furnace Exemption

Y N 3. United States Importer of Hazardous Waste Y N 9. Underground Injection Control

Y N 4. Mixed Waste (hazardous and radioactive) Generator Y N 10. Receives Hazardous Waste from Off

- site

B. Universal Waste Activities; Complete all parts 1

- 2. C. Used Oil Activities; Complete all parts 1

- 4.

Y N 1. Large Quantity Handler of Universal Waste (you accumulate 5,000 kg or more) [refer to your State regulations to determine what is regulated]. Indicate types of universal waste managed at your site. If “Yes

, ” mark all that apply.

a. Batteries

b. Pesticides

c. Mercury containing equipment

d. Lamps

e. Other (specify)

f. Other (specify)

g. Other (specify) Y N 1. Used Oil Transporter If “Yes

, ” mark all that apply.

a. Transporter

b. Transfer Facility (at your site)

Y N 2. Used Oil Processor and/or Re

- refiner If “Yes

, ” mark all that apply.

a. Processor

b. Re

- refiner

Y N 3. Off

- Specification Used Oil Burner

Y N 4. Used Oil Fuel Marketer
If “Yes

, ” mark all that apply.

Y N 2. Destination Facility for Universal Waste Note: A hazardous waste permit may be required for this activity. a. Marketer Who Directs Shipment of Off

- Specification Used Oil to Off

- Specification Used Oil Burner b. Marketer Who First Claims the Used Oil Meets the Specifications

EPA Form 8700

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D. Eligible Academic Entities with Laboratories

— Notification for opting into or withdrawing from managing laboratory hazardous wastes pursuant to 40 CFR Part 262 Subpart K

 You can ONLY Opt into Subpart K if:

• you are at least one of the following: a college or university; a teaching hospital that is owned by or has a formal affilia tion agreement with a college or university; or a non

- profit research institute that is owned by or has a formal affiliation agreem ent with a college or university; AND

• you have checked with your State to determine if 40 CFR Part 262 Subpart K is effective in your state

Y N N 1. Opting into or currently operating under 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories See the item

- by

- item instructions for definitions of types of eligible academic entities. Mark all that apply:

a. College or University

b. Teaching Hospital that is owned by or has a formal written affiliation agreement with a college or university

c. Non

- profit Institute that is owned by or has a formal written affiliation agreement with a college or university

Y N N 2. Withdrawing from 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories

11. Description of Hazardous Waste

A. Waste Codes for Federally Regulated Hazardous Wastes. Please list the waste codes of the Federal hazardous wastes handled at your site. List them in the order they are presented in the regulations (e.g., D001, D003, F007, U112). Use an additional page if more spaces are needed.

B. Waste Codes for State

- Regulated (i.e., non

- Federal) Hazardous Wastes. Please list the waste codes of the State

- Regulated hazardous wastes handled at your site. List them in the order they are presented in the regulations. Use an additional page if more spaces are needed.

EPA Form 8700

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12. Notification of Hazardous Secondary Material (HSM) Activity

Y N A. Are you notifying under 40 CFR 260.42 that you will begin managing, are managing, or will stop managing hazardous secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25) 40 CFR 260.30 , 40 CFR 261.4(a)(23), (24), or (2 7 ) ?

If “Yes

, ” you must fill out the Addendum to the Site Identification Form: Notification for Managing Hazardous Secondary Material

.

Y N B. Are you notifying under 40 CFR 260.43(a)(4)(iii) that the product of your recycling process has levels of hazardous constituents that are not comparable to or unable to be compared to a legitimate product or intermediate but that the recycli ng is still legitimate?

If “Yes,” you may provide comments in Item 13 below

. You must also document that your recycling is still legitimate and maintain that documentation on

- site.

13. Comments

14. Certification. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based

o n my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the informat ion, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. For the RCRA Hazardous Waste Part A Permit Application, all owner(s) and operator(s) must sign (see 40 CFR 270.10(b) and 2 70.11).

Signature of legal owner, operator, or an authorized representative Name and Official Title (type or print : first name, middle initial, last name, and title ) Date Signed (mm/dd/yyyy) Email

EPA Form 8700

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### ADDENDUM TO THE SITE IDENTIFICATION FORM:

NOTIFICATION OF HAZARDOUS SECONDARY MATERIAL ACTIVITY

ONLY fill out this form if:

 You are located in a State that allows you to manage excluded hazardous secondary material (HSM) under 40 CFR 260.30 40 CFR 261.2(a)(2)(ii)

, 261.4(a)(23), (24), or (25) (27) (or state equivalent); See http://www.epa.gov/epawaste/hazard/dsw/statespf.htm for a list of eligible states; AND

 You are or will be managing excluded HSM in compliance with 40 CFR 261.2(a)(2)(ii) 40 CFR 260.30 , 261.4(a)(23), (24), or (25) (27) (or state equivalent) or you have stopped managing excluded HSM in compliance with the exclusion(s) and do not expect to
manage any amount of excluded HSM under the exclusion(s) for at least one year. Do not include any information regarding your

hazardous waste activities in this section. N ote: If your facility was granted a solid variance under 40 CFR 260.30 prior to July 13, 2015, your management of hazardous secondary materials under 40 CFR 260.30 is grandfathered under the previous regulations and you are not required to notify for the HSM management activity excluded under 40

CFR 260.3 0

.

1. Indicate reason for notification. Include dates where requested.

Facility will begin managing excluded HSM as of _____________ (mm/dd/yyyy).

Facility is still managing excluded HSM/re

- notifying as required by March 1 of each even

- numbered year.

Facility has stopped managing excluded HSM as of ____________ (mm/dd/yyyy) and is notifying as required.

2. Description of excluded HSM activity. Please list the appropriate codes and quantities in short tons to describe your excluded HSM activity ONLY (do not include any information regarding your hazardous wastes). Use additional pages if more space is needed.

a. Facility code (answer using codes listed in the Code List section of the instructions) b. Waste code(s) for HSM c. Estimated short tons of excluded HSM to be managed annually d. Actual short tons of excluded HSM that was managed during the most recent odd

numbered year e. Land

- based unit code (answer using codes listed in the Code List section of the instructions)

3. Facility has financial assurance pursuant to 40 CFR 261.4(a)(24)(vi). (Financial assurance is required for reclaimers and intermediate facilities managing excluded HSM under 40 CFR 261.4(a)(24) and (25))

Y N Does this facility have financial assurance pursuant to 40 CFR 261.4(a)(24)(vi)?

EPA Form 8700

- 12, 8700

- 13 A/B, 8700

- 23 Addendum Page of

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